Long Van, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10561 Issued in FL

Practice address

2160 Dunn Ave
Jacksonville, FL 32218-4718

Phone

(904) 743-2222

Fax

(904) 743-3087

NPI assigned

Feb 27, 2012

Last updated

Jan 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• River City Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1649322215

  Chiropractor

  Medicare reassignment NPD
• Axiom Pain Management LLC

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1184945917
  NPD (past)

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1396019006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6947 MERRILL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772684",
            "telephone_number": "904-743-2222",
            "fax_number": "904-743-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 DUNN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184718",
            "telephone_number": "904-743-2222",
            "fax_number": "904-743-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "LONG",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-27",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda K Van Vliet
• Chot Van, PHARM.D.
• Cuc Thi Van, OD
• Donald Van, DDS
• Linh Van
• Tim T. Van, DMD
• Alexandra Chiu Vance, PHARMD, BCPS
• Danielle P Vance, O.D.
• Kimberly Sue Vance
• Sushma K Vance, M.D.

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.