Organization Active NPI

Tru Chang Chiropractic Inc

  • Chiropractor
  • Merced, CA
National Provider Identifier
1801348610
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27398 Issued in CA
Legal business name
TRU CHANG CHIROPRACTIC INC
Practice address
700 W Olive Avenue
Suite G
Merced, CA 95348
Phone
(209) 722-9089
Fax
(209) 722-9089
NPI assigned
Oct 27, 2016
Last updated
Oct 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Ann Moua
Title
Office Manager
Phone
(209) 722-9089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27398 CA Primary

Addresses

Primary practice location

700 W Olive Avenue
Suite G
Merced, CA 95348

Mailing address

700 W Olive Avenue
Suite G
Merced, CA 95348
Phone (209) 722-9089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170119002851 CA Part B Supplier - Clinic/Group Practice 1052693488 Receives reassigned benefits from 1 practitioner
Practice locations: Merced, CA

National Provider Directory

National Provider Directory

Locations

700 W Olive Ave
Ste G
Merced, CA 95348
Phone (209) 383-4553

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1801348610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W OLIVE AVENUE",
            "address_2": "SUITE G",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95348",
            "telephone_number": "209-722-9089",
            "fax_number": "209-722-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W OLIVE AVENUE",
            "address_2": "SUITE G",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95348",
            "telephone_number": "209-722-9089",
            "fax_number": "209-722-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU CHANG CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "MOUA",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-722-9089"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.