Individual provider Active NPI

Hung Doan, DC

  • Chiropractor
  • Harvey, LA
National Provider Identifier
1215452636
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1779 Issued in LA
Practice address
851 Manhattan Blvd Ste B
Harvey, LA 70058-4630
Phone
(504) 617-4171
Fax
(504) 617-7772
NPI assigned
Aug 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1779 LA Primary

Addresses

Primary practice location

851 Manhattan Blvd Ste B
Harvey, LA 70058-4630

Mailing address

851 Manhattan Blvd Ste B
Harvey, LA 70058-4630
Phone (504) 617-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206003709 LA Order and Referring Only - DentistPractitioner - Dentist 7113291980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1779LAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215452636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MANHATTAN BLVD STE B",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700584630",
            "telephone_number": "504-617-4171",
            "fax_number": "504-617-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MANHATTAN BLVD STE B",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700584630",
            "telephone_number": "504-617-4171",
            "fax_number": "504-617-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "HUNG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

Verify at the official NPI Registry.