Active NPI
Nicole Phuong Tran, D.C.
- Chiropractor
- Grand Prairie, TX
National Provider Identifier
1790899565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8484
- Practice address
- 2304 W. Bardin Rd
Suite 201
Grand Prairie, TX 75052 - Phone
- (972) 522-1511
- Fax
- (972) 522-1510
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- 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 | 8484 | TX | Primary |
Addresses
Primary practice location
2304 W. Bardin Rd
Suite 201
Grand Prairie, TX 75052
Mailing address
2304 W. Bardin Rd
Suite 201
Grand Prairie, TX 75052
Phone (972) 522-1511
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 |
|---|---|---|---|
| 8484 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790899565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2304 W. BARDIN RD",
"address_2": "SUITE 201",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "75052",
"telephone_number": "972-522-1511",
"fax_number": "972-522-1510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 W. BARDIN RD",
"address_2": "SUITE 201",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "75052",
"telephone_number": "972-522-1511",
"fax_number": "972-522-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "NICOLE",
"middle_name": "PHUONG",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- 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.