Active NPI
Tracy Truong, DC
- Chiropractor
- Richardson, TX
National Provider Identifier
1396593752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16022
- Practice address
- 1415 E Renner Rd Ste 220
Richardson, TX 75082-2150 - Phone
- (972) 646-8605
- NPI assigned
- May 10, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16022 | TX | Primary |
Addresses
Primary practice location
1415 E Renner Rd Ste 220
Richardson, TX 75082-2150
Mailing address
1415 E Renner Rd Ste 220
Richardson, TX 75082-2150
Phone (972) 646-8605
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 |
|---|---|---|---|
| 16022 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1396593752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 E RENNER RD STE 220",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750822150",
"telephone_number": "972-646-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 E RENNER RD STE 220",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750822150",
"telephone_number": "972-646-8605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "TRACY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-10",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "16022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.