Active NPI
Dale D Nguyen, DC
- Chiropractor
- Renton, WA
National Provider Identifier
1083912760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 00003172
- Practice address
- 1222 Bronson Way N Ste 130
Renton, WA 98057-5727 - Phone
- (425) 276-5783
- Fax
- (425) 276-5786
- NPI assigned
- Mar 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 00003172 | WA | Primary |
Addresses
Primary practice location
1222 Bronson Way N Ste 130
Renton, WA 98057-5727
Mailing address
1222 Bronson Way N Ste 130
Renton, WA 98057-5727
Phone (425) 276-5783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 00003172 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1083912760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 BRONSON WAY N STE 130",
"city": "RENTON",
"state": "WA",
"postal_code": "980575727",
"telephone_number": "425-276-5783",
"fax_number": "425-276-5786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 BRONSON WAY N STE 130",
"city": "RENTON",
"state": "WA",
"postal_code": "980575727",
"telephone_number": "425-276-5783",
"fax_number": "425-276-5786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DALE",
"middle_name": "D",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-04",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH 00003172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.