Kevin Tran Merced Wellness Chiropractic Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC29371 Issued in CA

Legal business name

KEVIN TRAN MERCED WELLNESS CHIROPRACTIC PROFESSIONAL CORPORATION

Doing business as

Merced Wellness

Practice address

104 W Alexander Ave
Merced, CA 95348-3410

Phone

(619) 881-7276

NPI assigned

Aug 3, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin A Tran, DCNPI 1013007517

Title

President

Phone

(209) 222-3979

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Merced Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Kevin A Tran, D.C.

  • Chiropractor
  • Merced, CA
  • NPI 1013007517
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1851816557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W ALEXANDER AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W ALEXANDER AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483410",
            "telephone_number": "619-881-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN TRAN MERCED WELLNESS CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-222-3979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013007517",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merced Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Merced, CA
• Providers in Merced, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.