Individual provider Active NPI

Khanh N Nguyen, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1871956474
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13134 Issued in TX
Practice address
1508 Dessau Ridge LN
Apt 702
Austin, TX 78754-2122
Phone
(512) 840-0119
Fax
(877) 509-5308
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13134 TX Primary

Addresses

Primary practice location

1508 Dessau Ridge LN
Apt 702
Austin, TX 78754-2122

Mailing address

1508 Dessau Ridge LN
Apt 702
Austin, TX 78754-2122
Phone (512) 840-0119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616001677 TX Practitioner - Chiropractic 4789975095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1508 Dessau Ridge LN
Suite 702
Austin, TX 78754-2122
Phone (512) 840-0119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Enlightened Chiropractic, Inc Chiropractor CurrentSince May 3, 2016 Accepting new patients

Locations

1508 Dessau Ridge Ln
Ste 702
Austin, TX 78754
Phone (512) 840-0119

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.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1871956474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 DESSAU RIDGE LN",
            "address_2": "APT 702",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787542122",
            "telephone_number": "512-840-0119",
            "fax_number": "877-509-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 DESSAU RIDGE LN",
            "address_2": "APT 702",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787542122",
            "telephone_number": "512-840-0119",
            "fax_number": "877-509-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHANH",
        "middle_name": "N",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.