Individual provider Active NPI

Tuan-Anh Derek Nguyen, D.C.

  • Chiropractor
  • Abbeville, LA
National Provider Identifier
1386757185
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1017 Issued in LA
Practice address
1720 Veterans Memorial Dr.
Abbeville, LA 70510
Phone
(337) 898-2225
Fax
(337) 893-0253
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1017 LA Primary

Addresses

Primary practice location

1720 Veterans Memorial Dr.
Abbeville, LA 70510

Mailing address

1720 Veterans Memorial Dr.
Abbeville, LA 70510
Phone (337) 898-2225

Other identifiers 2

IdentifierTypeStateIssuer
1996491MedicaidLA
3308FOtherLABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000141 LA Practitioner - Chiropractic 0446442289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1720 Veterans Memorial Dr
Abbeville, LA 70510-3140
Phone (337) 898-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1017LAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen Chiropractic, Inc. Chiropractor CurrentSince Sep 15, 1994 Accepting new patients

Locations

1720 Veterans Memorial Dr
Abbeville, LA 70510
Phone (337) 898-2225

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1386757185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 VETERANS MEMORIAL DR.",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "70510",
            "telephone_number": "337-898-2225",
            "fax_number": "337-893-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 VETERANS MEMORIAL DR.",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "70510",
            "telephone_number": "337-898-2225",
            "fax_number": "337-893-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUAN-ANH",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1996491",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3308F",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.