Individual provider Active NPI

David Kheo Tran, D.C

  • Chiropractor
  • Quincy, MA
National Provider Identifier
1689122756
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3548 Issued in MA
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

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20170224001865 MA Practitioner - Chiropractic 1456635192 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3548MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Chiropractor CurrentSince Jul 1, 2019 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.

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.

Verify at the official NPI Registry.