Active NPI
Jan Van Truong, D.C.
- Chiropractor
- Biloxi, MS
National Provider Identifier
1598067340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1171
- Practice address
- 1720A Medical Park Dr
160B
Biloxi, MS 39532-2129 - Phone
- (228) 206-5389
- NPI assigned
- Nov 30, 2010
- 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 | 1711 | MS | |
| Chiropractor | 111N00000X | 1171 | MS | Primary |
Addresses
Primary practice location
1720A Medical Park Dr
160B
Biloxi, MS 39532-2129
Mailing address
1547 Pelican Bayou Dr
Biloxi, MS 39532-8082
Phone (228) 238-9158
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1711 | MS | MD | Professional Counselor |
| 1171 | MS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456963200000",
"number": "1598067340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1547 PELICAN BAYOU DR",
"city": "BILOXI",
"state": "MS",
"postal_code": "395328082",
"telephone_number": "228-238-9158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720A MEDICAL PARK DR",
"address_2": "160B",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322129",
"telephone_number": "228-206-5389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "JAN",
"middle_name": "VAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-30",
"last_updated": "2016-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MS",
"license": "1711",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.