Individual provider Active NPI

Vu Hoang Nguyen, D.C.

  • Chiropractor
  • Arlington, VA
National Provider Identifier
1962631739
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01045567723 Issued in VA
Practice address
3801 Fairfax Dr
Suite 12
Arlington, VA 22203-1762
Phone
(703) 243-7878
Fax
(703) 243-7880
NPI assigned
Jul 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01045567723 VA Primary

Addresses

Primary practice location

3801 Fairfax Dr
Suite 12
Arlington, VA 22203-1762

Mailing address

3801 N. Fairfax Drive
Suite 12
Arlington, VA 22203-1762
Phone (703) 243-7878

Other names 1

  • Mr. Vu Hoang Nguyen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091124000462 DC Practitioner - Chiropractic 9931247046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National Medical University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiro Physical Medicine, LLCGroup PAC ID 1052469939, 2 clinicians

Practice addresses (Care Compare)

3801 Fairfax Dr
Suite 12
Arlington, VA 22203-1762
Phone (703) 243-7878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01045567723VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro Physical Medicine LLC CurrentSince Aug 30, 2009 Accepting new patients
Wynn Wellness Center, LLC Chiropractor CurrentSince May 22, 2022 Accepting new patients
Chiro Physical Medicine, LLC Chiropractor CurrentSince Aug 30, 2009 Accepting new patients
Wynn Wellness Center LLC Chiropractor Past Accepting new patients

Locations

3801 Fairfax Dr
Ste 12
Arlington, VA 22203
Phone (703) 243-7878

8500 Executive Park Ave
Ste 308
Fairfax, VA 22031
Phone (703) 216-4752

Organizations & group practices 4

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1962631739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N. FAIRFAX DRIVE",
            "address_2": "SUITE 12",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031762",
            "telephone_number": "703-243-7878",
            "fax_number": "703-243-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 FAIRFAX DR",
            "address_2": "SUITE 12",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031762",
            "telephone_number": "703-243-7878",
            "fax_number": "703-243-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VU",
        "middle_name": "HOANG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "01045567723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VU",
            "last_name": "NGUYEN",
            "middle_name": "HOANG",
            "prefix": "MR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.