Active NPI
Alexander T Pham, D.C.
- Chiropractor
- Arlington, TX
National Provider Identifier
1639321474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11074
- Practice address
- 787 E Park Row Dr
Arlington, TX 76010-4408 - Phone
- (817) 303-0300
- Fax
- (817) 303-0311
- NPI assigned
- Oct 10, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11074 | TX | Primary |
Addresses
Primary practice location
787 E Park Row Dr
Arlington, TX 76010-4408
Mailing address
787 E Park Row Dr
Arlington, TX 76010-4408
Phone (817) 303-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608548 | Other | TX | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 11074 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minh Michael Huynh, DC | 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.
-
- Chiropractor
- Arlington, TX
- NPI 1144416140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245974400000",
"number": "1639321474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "787 E PARK ROW DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760104408",
"telephone_number": "817-303-0300",
"fax_number": "817-303-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "787 E PARK ROW DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760104408",
"telephone_number": "817-303-0300",
"fax_number": "817-303-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "ALEXANDER",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-10",
"last_updated": "2009-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "608548",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.