Active NPI
Tien Nguyen
- Chiropractor
- Everett, WA
National Provider Identifier
1396118410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60582335
- Practice address
- 11314 4TH Ave W Ste 103
Everett, WA 98204-6926 - Phone
- (425) 355-3739
- NPI assigned
- Nov 11, 2015
- Last updated
- Nov 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 | CH60582335 | WA | Primary |
Addresses
Primary practice location
11314 4TH Ave W Ste 103
Everett, WA 98204-6926
Mailing address
6020 Brookridge Blvd
Everett, WA 98203-3458
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447200000000",
"number": "1396118410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 BROOKRIDGE BLVD",
"city": "EVERETT",
"state": "WA",
"postal_code": "982033458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11314 4TH AVE W STE 103",
"city": "EVERETT",
"state": "WA",
"postal_code": "982046926",
"telephone_number": "425-355-3739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TIEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-11",
"last_updated": "2015-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60582335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.