Active Spine Care LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12210 Issued in FL

Legal business name

ACTIVE SPINE CARE LLC

Practice address

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

Phone

(904) 802-4410

NPI assigned

Jan 17, 2018

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Trang N Nghiem, DCNPI 1508385261

Title

MGR

Phone

(904) 802-4410

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trang N Nghiem, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1508385261
  NPD Authorized official

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1538677133",
    "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": {
        "organization_name": "ACTIVE SPINE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "NGHIEM",
        "authorized_official_first_name": "TRANG",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "904-802-4410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joann G Acuna, MD
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• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• 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.