Blue Sky Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11243 Issued in TX

Legal business name

BLUE SKY CHIROPRACTIC LLC

Practice address

1718 Fry Rd Ste 445
Houston, TX 77084-5843

Phone

(281) 492-0190

NPI assigned

Jul 9, 2014

Last updated

Jan 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Duyen Nguyen-Deeboockum, DCNPI 1679706824

Title

Owner/Provider

Phone

(281) 492-0191

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Duyen Thi Nguyen-Deeboockum, D.C.

  • Chiropractor
  • Houston, TX
  • NPI 1679706824
  Authorized official Same address or phone

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1700292810",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 FRY RD STE 445",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845843",
            "telephone_number": "281-492-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN-DEEBOOCKUM",
        "authorized_official_first_name": "DUYEN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "281-492-0191",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• 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.