Active NPI
Tony Phan, D.C.
- Chiropractor
- Spring, TX
National Provider Identifier
1295113223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12932
- Practice address
- 431 Nursery Rd Ste A600
Spring, TX 77380-1987 - Phone
- (832) 605-8993
- Fax
- (844) 364-4263
- NPI assigned
- May 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12932 | TX | Primary |
Addresses
Primary practice location
431 Nursery Rd Ste A600
Spring, TX 77380-1987
Mailing address
11463 Gullwood Dr
Houston, TX 77089-6821
Phone (832) 475-7960
Other practice location 1
8866 Gulf Fwy Ste 122
Houston, TX 77017-6528
Phone (832) 834-5096
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12932 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1295113223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11463 GULLWOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896821",
"telephone_number": "832-475-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 NURSERY RD STE A600",
"city": "SPRING",
"state": "TX",
"postal_code": "773801987",
"telephone_number": "832-605-8993",
"fax_number": "844-364-4263"
}
],
"practiceLocations": [
{
"address_1": "8866 Gulf Fwy Ste 122",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770176528",
"country_code": "US",
"telephone_number": "832-834-5096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAN",
"first_name": "TONY",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.