NPIMap

Organization Active NPI

Nguyen Chiropractic Corporation

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1124468004
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32111 Issued in CA
Legal business name
NGUYEN CHIROPRACTIC CORPORATION
Practice address
1122 Corporate Way Suite 300
Sacramento, CA 95831
Phone
(916) 395-5804
Fax
(916) 550-9831
NPI assigned
Jun 25, 2013
Organization subpart
Yes
Parent organization
NGUYEN CHIROPRACTIC CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Dr. The D Nguyen, D.C.NPI 1265717052
Title
Ceo
Phone
(916) 395-5804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC32111 CA Primary

Addresses

Primary practice location

1122 Corporate Way Suite 300
Sacramento, CA 95831

Mailing address

1122 Corporate Way Suite 300
Sacramento, CA 95831
Phone (916) 395-5804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131121001481 CA Part B Supplier - Clinic/Group Practice 7315173309 Receives reassigned benefits from 3 practitioners
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory
Part of
Nguyen Chiropractic Corporation

Locations

4732 Duckhorn Dr
Sacramento, CA 95834

7420 Greenhaven Dr
Ste 115
Sacramento, CA 95831
Phone (530) 415-6531

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1124468004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 CORPORATE WAY SUITE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95831",
            "telephone_number": "916-395-5804",
            "fax_number": "916-550-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CORPORATE WAY SUITE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95831",
            "telephone_number": "916-395-5804",
            "fax_number": "916-550-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN CHIROPRACTIC CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NGUYEN CHIROPRACTIC CORP",
        "enumeration_date": "2013-06-25",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-395-5804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.