Individual provider Active NPI

Anh-Tuan Tang Nguyen, D.C.

  • Chiropractor
  • West Valley City, UT
National Provider Identifier
1396811808
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6263590-1202 Issued in UT
Practice address
1819 W 3500 S
Suite 1a
West Valley City, UT 84119-3457
Phone
(801) 864-9532
Fax
(801) 887-7717
NPI assigned
Nov 27, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 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 6263590-1202 UT Primary

Addresses

Primary practice location

1819 W 3500 S
Suite 1a
West Valley City, UT 84119-3457

Mailing address

3525 Ice Skate Circle
West Jordan, UT 84084
Phone (801) 864-9532

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
6263590-1202UTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1396811808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 ICE SKATE CIRCLE",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84084",
            "telephone_number": "801-864-9532",
            "fax_number": "801-887-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W 3500 S",
            "address_2": "SUITE 1A",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193457",
            "telephone_number": "801-864-9532",
            "fax_number": "801-887-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANH-TUAN",
        "middle_name": "TANG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6263590-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.