Individual provider Active NPI

Khoa Dang Ta, D.C.

  • Chiropractor
  • Rosemead, CA
National Provider Identifier
1477993350
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32671 Issued in CA
Practice address
9105 Valley Blvd
Suite 101
Rosemead, CA 91770-1919
Phone
(626) 415-6213
Fax
(626) 773-8996
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32671 CA Primary

Addresses

Primary practice location

9105 Valley Blvd
Suite 101
Rosemead, CA 91770-1919

Mailing address

9105 Valley Blvd
Suite 101
Rosemead, CA 91770-1919
Phone (626) 415-6213

Other identifiers 1

IdentifierTypeStateIssuer
1477993350OtherCANATIONAL PROVIDER ID

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ta's Better Health Chiropractic Clinic Inc Chiropractor Past Accepting new patients

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1477993350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 VALLEY BLVD",
            "address_2": "SUITE 101",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701919",
            "telephone_number": "626-415-6213",
            "fax_number": "626-773-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 VALLEY BLVD",
            "address_2": "SUITE 101",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701919",
            "telephone_number": "626-415-6213",
            "fax_number": "626-773-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "KHOA",
        "middle_name": "DANG",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER ID",
            "identifier": "1477993350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.