Active NPI
John Phong Tran, D.C
- Chiropractor
- Wichita, KS
National Provider Identifier
1770829566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05515
- Practice address
- 555 N McLean Blvd
Suite 300
Wichita, KS 67203-5815 - Phone
- (316) 613-3332
- NPI assigned
- Dec 24, 2012
- 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 | 01-05515 | KS | Primary |
Addresses
Primary practice location
555 N McLean Blvd
Suite 300
Wichita, KS 67203-5815
Mailing address
555 N McLean Blvd
Suite 300
Wichita, KS 67203-5815
Phone (316) 613-3332
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 |
|---|---|---|---|
| 01-05515 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Wichita, KS
- NPI 1407943434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356307200000",
"number": "1770829566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N MCLEAN BLVD",
"address_2": "SUITE 300",
"city": "WICHITA",
"state": "KS",
"postal_code": "672035815",
"telephone_number": "316-613-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N MCLEAN BLVD",
"address_2": "SUITE 300",
"city": "WICHITA",
"state": "KS",
"postal_code": "672035815",
"telephone_number": "316-613-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "JOHN",
"middle_name": "PHONG",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-24",
"last_updated": "2012-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.