Active NPI
Su Van Nguyen, OMD., LAC. LMT
- Acupuncturist
- Coral Springs, FL
National Provider Identifier
1346515459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP2973
- Practice address
- 10394 W Sample Rd
Coral Springs, FL 33065-3970 - Phone
- (954) 755-1980
- Fax
- (954) 755-1994
- NPI assigned
- Mar 22, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP2973 | FL | Primary |
Addresses
Primary practice location
10394 W Sample Rd
Coral Springs, FL 33065-3970
Mailing address
2508 Centergate Dr
Apt 104
Miramar, FL 33025-7241
Phone (954) 755-1980
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 |
|---|---|---|---|
| AP2973 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332374400000",
"number": "1346515459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 CENTERGATE DR",
"address_2": "APT 104",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330257241",
"telephone_number": "954-755-1980",
"fax_number": "954-755-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10394 W SAMPLE RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330653970",
"telephone_number": "954-755-1980",
"fax_number": "954-755-1994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "SU",
"middle_name": "VAN",
"credential": "OMD., LAC. LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-22",
"last_updated": "2012-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.