Active NPI
David Kheo Tran, D.C
- Chiropractor
- Quincy, MA
National Provider Identifier
1689122756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3548
- Practice address
- 111 Willard St
Suite 2a
Quincy, MA 02169-1200 - Phone
- (617) 471-4491
- NPI assigned
- Sep 16, 2016
- 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 | 3548 | MA | Primary |
Addresses
Primary practice location
111 Willard St
Suite 2a
Quincy, MA 02169-1200
Mailing address
4 Castle CT
Apt. B
Boston, MA 02118-2278
Phone (617) 778-3279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3548 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy of Randolph Inc | Chiropractor | Current | Accepting new patients |
Locations
362 Belmont St
Brockton, MA 02301
Phone (508) 584-6622
111 Willard St
Ste 2A
Quincy, MA 02169
Phone (617) 471-4491
1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225
1054 County St
Somerset, MA 02726
Phone (508) 674-3340
Organizations & group practices 2
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.
-
- Physical Therapist
- Fall River, MA
- NPI 1164474334
-
- Chiropractor
- Quincy, MA
- NPI 1316507627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1689122756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CASTLE CT",
"address_2": "APT. B",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182278",
"telephone_number": "617-778-3279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WILLARD ST",
"address_2": "SUITE 2A",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691200",
"telephone_number": "617-471-4491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "DAVID",
"middle_name": "KHEO",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-16",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.