John Phung, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9764 Issued in TX

Practice address

417 N Garland Ave
Garland, TX 75040-5646

Phone

(214) 703-0044

Fax

(214) 703-0691

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiropractic Avenue & Physical Medicine, P.a.

  • Chiropractor
  • Garland, TX
  • NPI 1619074697
  Authorized official Same address or phone

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770674558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N GARLAND AVE",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750405646",
            "telephone_number": "214-703-0044",
            "fax_number": "214-703-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N GARLAND AVE",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750405646",
            "telephone_number": "214-703-0044",
            "fax_number": "214-703-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1762254",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmax Pharmacy LLC
• Phil Cook DC PC (Cook Chiropractic Center)
• Phounsavath Andy Philacnack, CHIROPRACTOR
• Jissy Rachel Philip, D.O.
• Elizabeth Phillips, DDS
• Sabrina Buu-Hanh Phung, DDS
• Phuong Lan Ngo DDS PA
• Physical Rehab Consultants, PLLC
• Physical Therapy Today of Lubbock LP (Physical Therapy Today)
• Physiobackpt LLC (physioback physical therapy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.