Thu Diem-Nguyen Phan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15062 Issued in TX

Practice address

2929 N Central Expy Ste 310
Richardson, TX 75080-2046

Phone

(214) 484-3236

Fax

(214) 730-0948

NPI assigned

May 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Touch Chiropractic and Wellness Group, PLLCGroup PAC ID 7618334780, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22148/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/19750/brand/1/csg/1/fhir/r4

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.

• Life Touch Chiropractic and Wellness Group, PLLC

  • Chiropractor
  • Richardson, TX
  • NPI 1063118891
  Medicare reassignment Care Compare group NPD
• Myocore, LLC

  • Chiropractor
  • Overland Park, KS
  • NPI 1619649944
  NPD

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1144968363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 N CENTRAL EXPY STE 310",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802046",
            "telephone_number": "214-484-3236",
            "fax_number": "214-730-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N CENTRAL EXPY STE 310",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802046",
            "telephone_number": "214-484-3236",
            "fax_number": "214-730-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "THU",
        "middle_name": "DIEM-NGUYEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bao Long Phan, M.D.
• Danielle Phan, D.D.S
• Lanh Phan, PHARMD
• Nghi Bao Phan, MD
• Quynh-Dao Nguyen Phan, PHARM D
• Thu Thao Thi Phan, D.D.S.
• Truc Thanh Phan, D.D.S
• Mia Philip
• Alexa Phillips
• Amanda Phillips, MS CCC/SLP

• Chiropractor in Richardson, TX
• Providers in Richardson, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.