Jordan DO Nguyen

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2800 S University Dr
Fort Worth, TX 76129

Phone

(817) 257-7000

NPI assigned

Mar 26, 2017

Last updated

May 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1215468756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 DERBYSHIRE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761376652",
            "telephone_number": "682-583-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S UNIVERSITY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76129",
            "telephone_number": "817-257-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JORDAN",
        "middle_name": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-26",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Nguyen, M.D.
• Joanne Nguyen, OD
• Jodie Nguyen, PA-C
• Johnny Nguyen, SLP ASSISTANT
• Jonny Nguyen, PHARMD
• Julie Nguyen, MD
• Kailey Nguyen, DO
• Karen Nguyen
• Karen Ngoc Nguyen, OD
• Kelly P Nguyen, DMD

• Athletic Trainer in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.