Individual provider Active NPI

Trang N Nghiem, DC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1508385261
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12210 Issued in FL
Practice address
9310 Old Kings Rd S Ste 1102
Jacksonville, FL 32257-6196
Phone
(904) 802-4410
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12210 FL Primary

Addresses

Primary practice location

9310 Old Kings Rd S Ste 1102
Jacksonville, FL 32257-6196

Mailing address

9310 Old Kings Rd S Ste 1102
Jacksonville, FL 32257-6196
Phone (904) 802-4410

Other names 1

  • Dr. Trang N Nghiem Professional name

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

State licenses

LicenseStateTypeSpecialty
CH12210FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
River City Medical Associates Inc Chiropractor CurrentSince Mar 11, 2022 Accepting new patients
Active Spine Care LLC Chiropractor Current Accepting new patients
Rose Wellness Clinic LLC Chiropractor CurrentSince Apr 22, 2024 Accepting new patients

Locations

6947 Merrill Rd
Jacksonville, FL 32277
Phone (904) 387-7484

9310 Old Kings Rd S
Ste 1102
Jacksonville, FL 32257
Phone (904) 802-4410

630 Jacksonville Dr
Jax Bch, FL 32250
Phone (904) 249-4645

910 Old Camp Rd
Ste 92
The Villages, FL 32162
Phone (352) 775-2180

Organizations & group practices 3

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1508385261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 OLD KINGS RD S STE 1102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576196",
            "telephone_number": "904-802-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 OLD KINGS RD S STE 1102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576196",
            "telephone_number": "904-802-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGHIEM",
        "first_name": "TRANG",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRANG",
            "last_name": "NGHIEM",
            "middle_name": "N",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.