Organization Active NPI

Nguyen Spine and Sport Chiropractic

Doing business as Spine and Sport Chiropractic

  • Chiropractor
  • Alameda, CA
National Provider Identifier
1205595550
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NGUYEN SPINE AND SPORT CHIROPRACTIC
Doing business as
Spine and Sport Chiropractic
Practice address
2504 Santa Clara Ave Ste 1-2
Alameda, CA 94501-3074
Phone
(415) 623-9258
Fax
(510) 426-8256
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Dr. Davis Nguyen, DCNPI 1982158838
Title
Ceo
Phone
(415) 623-9258

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 Primary

Addresses

Primary practice location

2504 Santa Clara Ave Ste 1-2
Alameda, CA 94501-3074

Mailing address

2504 Santa Clara Ave Ste 1-2
Alameda, CA 94501-3074
Phone (415) 623-9258

Other names 1

  • Spine and Sport Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2504 Santa Clara Ave
Ste 12
Alameda, CA 94501
Phone (415) 623-9258

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1205595550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 SANTA CLARA AVE STE 1-2",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013074",
            "telephone_number": "415-623-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 SANTA CLARA AVE STE 1-2",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013074",
            "telephone_number": "415-623-9258",
            "fax_number": "510-426-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN SPINE AND SPORT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-623-9258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine and Sport Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.