Active NPI
Mong Van, D.C.
- Chiropractor
- Cambridge, MA
National Provider Identifier
1306022975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9123
- Practice address
- 1798 Massachusetts Ave # a
Cambridge, MA 02140-2860 - Phone
- (857) 413-0591
- NPI assigned
- Jan 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | CH9123 | FL | Primary |
Addresses
Primary practice location
1798 Massachusetts Ave # a
Cambridge, MA 02140-2860
Mailing address
91 Webster St
Unit 1
Boston, MA 02128-2708
Phone (857) 413-0591
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 |
|---|---|---|---|
| CH9123 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1306022975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 WEBSTER ST",
"address_2": "UNIT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021282708",
"telephone_number": "857-413-0591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1798 MASSACHUSETTS AVE # A",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402860",
"telephone_number": "857-413-0591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN",
"first_name": "MONG",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.