Individual provider Active NPI

Daniel Nguyen Doan, D.C.

  • Chiropractor
  • Wyncote, PA
National Provider Identifier
1396443370
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011812 Issued in PA
Practice address
1000 South Easton Road
Suite 210
Wyncote, PA 19095
Phone
(215) 277-3822
Fax
(610) 532-4258
NPI assigned
Feb 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011812 PA Primary

Addresses

Primary practice location

1000 South Easton Road
Suite 210
Wyncote, PA 19095

Mailing address

PO Box 407
Folsom, PA 19033-0407
Phone (610) 532-0657

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

LicenseStateTypeSpecialty
DC011812PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cheltenham Pain Management Chiropractor CurrentSince Feb 26, 2023 Accepting new patients

Locations

1000 Easton Rd
Ste 210
Wyncote, PA 19095
Phone (215) 277-3822

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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1396443370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "FOLSOM",
            "state": "PA",
            "postal_code": "190330407",
            "telephone_number": "610-532-0657",
            "fax_number": "610-532-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SOUTH EASTON ROAD",
            "address_2": "SUITE 210",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "19095",
            "telephone_number": "215-277-3822",
            "fax_number": "610-532-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "DANIEL",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyncote, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.