Individual provider Active NPI

Michelle Quynh Dang

  • Chiropractor
  • Fountain Valley, CA
National Provider Identifier
1275024564
Registry record updated Aug 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28523 Issued in CA
Practice address
9550 Warner Ave Ste 224
Fountain Valley, CA 92708-2843
Phone
(714) 336-7536
Fax
(714) 369-2641
NPI assigned
May 23, 2018
Last updated
Aug 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28523 CA Primary

Addresses

Primary practice location

9550 Warner Ave Ste 224
Fountain Valley, CA 92708-2843

Mailing address

9550 Warner Ave Ste 224
Fountain Valley, CA 92708-2843
Phone (714) 336-7536

Other practice location 1

5211 E. Washington Blvd., 2nd Floor #18
Los Angeles, CA 90040
Phone (714) 336-7536

Other practice location 2

18062 Irvine Blvd Ste 206
Tustin, CA 92780-3329
Phone (714) 336-7536

Other names 1

  • Michelle Quynh Overton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC28523CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Dang Chiropractic Corporation Chiropractor CurrentSince Aug 25, 2019 Accepting new patients

Locations

9550 Warner Ave
Ste 224
Fountain Valley, CA 92708
Phone (562) 519-4451

18062 Irvine Blvd
Ste 206
Tustin, CA 92780
Phone (714) 336-7536

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566000000000",
    "number": "1275024564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 WARNER AVE STE 224",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082843",
            "telephone_number": "714-336-7536",
            "fax_number": "714-369-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 WARNER AVE STE 224",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082843",
            "telephone_number": "714-336-7536",
            "fax_number": "714-369-2641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5211 E. Washington Blvd., 2nd Floor #18",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90040",
            "country_code": "US",
            "telephone_number": "714-336-7536",
            "fax_number": "714-369-2641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18062 Irvine Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927803329",
            "country_code": "US",
            "telephone_number": "714-336-7536",
            "fax_number": "714-369-2641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANG",
        "first_name": "MICHELLE",
        "middle_name": "QUYNH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2019-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "OVERTON",
            "middle_name": "QUYNH",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; 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.