Active NPI
Lai Duc Nguyen, D.C.
- Chiropractor
- San Jose, CA
National Provider Identifier
1700926417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26454
- Practice address
- 485 Lewis Rd Ste C
San Jose, CA 95111-2196 - Phone
- (408) 226-8877
- Fax
- (408) 226-8845
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | DC26454 | CA | Primary |
Addresses
Primary practice location
485 Lewis Rd Ste C
San Jose, CA 95111-2196
Mailing address
485 Lewis Rd Ste C
San Jose, CA 95111-2196
Phone (408) 226-8877
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 |
|---|---|---|---|
| DC26454 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252886400000",
"number": "1700926417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 LEWIS RD STE C",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951112196",
"telephone_number": "408-226-8877",
"fax_number": "408-226-8845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 LEWIS RD STE C",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951112196",
"telephone_number": "408-226-8877",
"fax_number": "408-226-8845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LAI",
"middle_name": "DUC",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2009-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.