Individual provider Active NPI

Vu-Victor Cong Van, D.C.

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1093252959
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15755 Issued in TX
Practice address
1012 N Davis Dr # 1012
Arlington, TX 76012-3240
Phone
(817) 576-6765
NPI assigned
Jan 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Chiropractor 111N00000X 15755 TX Primary

Addresses

Primary practice location

1012 N Davis Dr # 1012
Arlington, TX 76012-3240

Mailing address

1012 N Davis Dr # 1012
Arlington, TX 76012-3240
Phone (817) 576-6765

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

LicenseStateTypeSpecialty
15755TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Van Chiropractic, PLLC Chiropractor CurrentSince Nov 10, 2024 Accepting new patients
Healthsource of Lewisville PLLC Chiropractor CurrentSince Jul 15, 2024 Accepting new patients

Locations

1012 N Davis Dr
Arlington, TX 76012
Phone (817) 576-6765

475 State Highway 121 Byp
Ste 100
Lewisville, TX 75067
Phone (405) 420-3049

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1093252959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 N DAVIS DR # 1012",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123240",
            "telephone_number": "817-576-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 N DAVIS DR # 1012",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123240",
            "telephone_number": "817-576-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "VU-VICTOR",
        "middle_name": "CONG",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-30",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.