Individual provider Active NPI

Vu Quang Nguyen, DC

  • Chiropractor
  • Aiea, HI
National Provider Identifier
1154468213
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
760 Issued in HI
Practice address
98-1005 Moanalua Rd
SPC 235
Aiea, HI 96701-4707
Phone
(808) 524-8588
Fax
(808) 356-1707
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 760 HI Primary

Addresses

Primary practice location

98-1005 Moanalua Rd
SPC 235
Aiea, HI 96701-4707

Mailing address

PO Box 37342
Honolulu, HI 96837
Phone (808) 488-8588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000532 HI Practitioner - Chiropractic 1759304017 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
760HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Wellness Center Chiropractor CurrentSince Dec 17, 2018 Accepting new patients
Tang & Nguyen Chiropractic, PC Chiropractor Current Accepting new patients
Body & Mind Massage Institute, Inc Chiropractor Past Accepting new patients
Energy Healing & Massage LLC PastSince Dec 7, 2025 Accepting new patients

Locations

98-1005 Moanalua Rd
Spc 235
Aiea, HI 96701
Phone (808) 488-8588

31 S Beretania St
Honolulu, HI 96813
Phone (808) 524-8588

Organizations & group practices 4

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1154468213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37342",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96837",
            "telephone_number": "808-488-8588",
            "fax_number": "808-356-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD",
            "address_2": "SPC 235",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014707",
            "telephone_number": "808-524-8588",
            "fax_number": "808-356-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VU",
        "middle_name": "QUANG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.