Individual provider Active NPI

Duyen Thi Nguyen-Deeboockum, D.C.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1679706824
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11243 Issued in TX
Practice address
1718 Fry Rd Ste 445a
Houston, TX 77084-5832
Phone
(281) 492-0190
Fax
(281) 647-7706
NPI assigned
Sep 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11243 TX Primary

Addresses

Primary practice location

1718 Fry Rd Ste 445a
Houston, TX 77084-5832

Mailing address

1718 Fry Rd Ste 445
Houston, TX 77084-5843
Phone (281) 492-0190

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

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1679706824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 FRY RD STE 445",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845843",
            "telephone_number": "281-492-0190",
            "fax_number": "281-647-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 FRY RD STE 445A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845832",
            "telephone_number": "281-492-0190",
            "fax_number": "281-647-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-DEEBOOCKUM",
        "first_name": "DUYEN",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.