Active NPI
Ky-Van Pham
- Rehabilitation Chiropractor
- Lewisville, TX
National Provider Identifier
1497994503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 10651
- Practice address
- 1520 Somerset Rd
Lewisville, TX 75067-4422 - Phone
- (214) 493-8200
- NPI assigned
- Feb 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 10651 | TX | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 1696 | LA |
Addresses
Primary practice location
1520 Somerset Rd
Lewisville, TX 75067-4422
Mailing address
1520 Somerset Rd
Lewisville, TX 75067-4422
Phone (214) 493-8200
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 |
|---|---|---|---|
| 1696 | LA | MD | Rehabilitation Chiropractor |
| 10651 | TX | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Plano, TX
- NPI 1134267867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1497994503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 SOMERSET RD",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750674422",
"telephone_number": "214-493-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SOMERSET RD",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750674422",
"telephone_number": "214-493-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "KY-VAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-12",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "10651",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "LA",
"license": "1696",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.