Active NPI
Vu Tony Pham
- Chiropractor
- Garland, TX
National Provider Identifier
1104339423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13648
- Practice address
- 3112 N Jupiter Rd Ste 310
Garland, TX 75044-6564 - Phone
- (972) 496-7070
- NPI assigned
- Nov 8, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 13648 | TX | Primary |
Addresses
Primary practice location
3112 N Jupiter Rd Ste 310
Garland, TX 75044-6564
Mailing address
1010 Walnut Pkwy
Garland, TX 75042-5317
Phone (214) 404-4115
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Estes Chiropractic Clinic PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- MC Dade, TX
- NPI 1538160759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1104339423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 WALNUT PKWY",
"city": "GARLAND",
"state": "TX",
"postal_code": "750425317",
"telephone_number": "214-404-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3112 N JUPITER RD STE 310",
"city": "GARLAND",
"state": "TX",
"postal_code": "750446564",
"telephone_number": "972-496-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "VU",
"middle_name": "TONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-08",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.