Active NPI
Tony Nguyen, DC
- Chiropractor
- Marietta, GA
National Provider Identifier
1962970525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR010144
- Practice address
- 2253 Northwest Pkwy SE
Marietta, GA 30067-8764 - Phone
- (678) 647-8692
- NPI assigned
- Nov 12, 2018
- 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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | CHIR010144 | GA | |
| Internist Chiropractor | 111NI0900X | CHIR010144 | GA | |
| Neurology Chiropractor | 111NN0400X | CHIR010144 | GA | |
| Nutrition Chiropractor | 111NN1001X | CHIR010144 | GA | |
| Pediatric Chiropractor | 111NP0017X | CHIR010144 | GA | |
| Radiology Chiropractor | 111NR0200X | CHIR010144 | GA | |
| Rehabilitation Chiropractor | 111NR0400X | CHIR010144 | GA | |
| Sports Physician Chiropractor | 111NS0005X | CHIR010144 | GA | |
| Thermography Chiropractor | 111NT0100X | CHIR010144 | GA | |
| Occupational Health Chiropractor | 111NX0100X | CHIR010144 | GA | |
| Orthopedic Chiropractor | 111NX0800X | CHIR010144 | GA | |
| Chiropractor | 111N00000X | CHIR010144 | GA | Primary |
Addresses
Primary practice location
2253 Northwest Pkwy SE
Marietta, GA 30067-8764
Mailing address
576 Francis PL SW
Lilburn, GA 30047-4108
Phone (770) 778-3948
Other practice location 1
576 Francis Pl SW
Lilburn, GA 30047-4108
Phone (770) 778-3948
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR010144 | GA | MD | Occupational Health Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1962970525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 FRANCIS PL SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300474108",
"telephone_number": "770-778-3948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2253 NORTHWEST PKWY SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678764",
"telephone_number": "678-647-8692"
}
],
"practiceLocations": [
{
"address_1": "576 Francis Pl SW",
"address_purpose": "LOCATION",
"city": "Lilburn",
"state": "GA",
"postal_code": "300474108",
"country_code": "US",
"telephone_number": "770-778-3948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "TONY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-12",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "GA",
"license": "CHIR010144",
"primary": false
},
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "GA",
"license": "CHIR010144",
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "GA",
"license": "CHIR010144",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "GA",
"license": "CHIR010144",
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "GA",
"license": "CHIR010144",
"primary": false
},
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "GA",
"license": "CHIR010144",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "CHIR010144",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "GA",
"license": "CHIR010144",
"primary": false
},
{
"code": "111NT0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Thermography",
"state": "GA",
"license": "CHIR010144",
"primary": false
},
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "GA",
"license": "CHIR010144",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "GA",
"license": "CHIR010144",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR010144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.