Individual provider Active NPI

Annie Tran Bozkurt, D.C.

  • Chiropractor
  • Piedmont, CA
National Provider Identifier
1942283536
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29221 Issued in CA
Practice address
109 Saint James Dr
Piedmont, CA 94611-3603
Phone
(415) 713-4837
NPI assigned
Nov 28, 2005
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29221 CA Primary

Addresses

Primary practice location

109 Saint James Dr
Piedmont, CA 94611-3603

Mailing address

109 Saint James Dr
Piedmont, CA 94611-3603
Phone (415) 713-4837

Other identifiers 1

IdentifierTypeStateIssuer
DC0292210MedicaidCA

Other names 1

  • Dr. Annie Tran Former name

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

LicenseStateTypeSpecialty
29221CAMDClinical Social Worker
DC29221CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1942283536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SAINT JAMES DR",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946113603",
            "telephone_number": "415-713-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SAINT JAMES DR",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946113603",
            "telephone_number": "415-713-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZKURT",
        "first_name": "ANNIE",
        "middle_name": "TRAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0292210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "TRAN",
            "prefix": "DR.",
            "credential": "D.C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Piedmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.