Active NPI
Kayla Tran Nguyen, D.C.
- Chiropractor
- St Louis Park, MN
National Provider Identifier
1932245271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4901
- Practice address
- 7200 Minnetonka Blvd
St Louis Park, MN 55426-3210 - Phone
- (952) 925-4847
- Fax
- (952) 925-4211
- NPI assigned
- Jan 30, 2007
- 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 | 4901 | MN | Primary |
Addresses
Primary practice location
7200 Minnetonka Blvd
St Louis Park, MN 55426-3210
Mailing address
4405 Highway 7
#J
Minneapolis, MN 55416-4068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350003833 | Other | MN | MEDICARE ID |
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 |
|---|---|---|---|
| 4901 | MN | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lopez Health Center, LLC | Chiropractor | Past | Accepting new patients |
| Boulevard Chiropractic Clinic, P.a. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopedic Chiropractor
- St Louis Park, MN
- NPI 1568544864
-
- Chiropractor
- Maple Grove, MN
- NPI 1801167804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1932245271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 HIGHWAY 7",
"address_2": "#J",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554164068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 MINNETONKA BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554263210",
"telephone_number": "952-925-4847",
"fax_number": "952-925-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KAYLA",
"middle_name": "TRAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "350003833",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.