Active NPI
Thanh Duc Pham, D.C.
- Chiropractor
- Garland, TX
National Provider Identifier
1952465510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9712
- Practice address
- 4431 W Walnut St Ste C
Garland, TX 75042-4108 - Phone
- (972) 494-5155
- Fax
- (972) 494-5159
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- 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 | 9712 | TX | Primary |
Addresses
Primary practice location
4431 W Walnut St Ste C
Garland, TX 75042-4108
Mailing address
4431 W Walnut St Ste C
Garland, TX 75042-4108
Phone (972) 494-5155
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 |
|---|---|---|---|
| 9712 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relief Partners LLC | Past | Accepting new patients | |
| Smiley Chiropractic | 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.
-
- Chiropractor
- Garland, TX
- NPI 1235384793
-
- Community/Retail Pharmacy
- Plano, TX
- NPI 1245864545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952465510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4431 W WALNUT ST STE C",
"city": "GARLAND",
"state": "TX",
"postal_code": "750424108",
"telephone_number": "972-494-5155",
"fax_number": "972-494-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4431 W WALNUT ST STE C",
"city": "GARLAND",
"state": "TX",
"postal_code": "750424108",
"telephone_number": "972-494-5155",
"fax_number": "972-494-5159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "THANH",
"middle_name": "DUC",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.