Active NPI
Jacqualine Nguyen
- Chiropractor
- Oklahoma City, OK
National Provider Identifier
1972203552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4541
- Practice address
- 13838 Quail Pointe Dr Ste a
Oklahoma City, OK 73134-1003 - Phone
- (405) 459-0183
- NPI assigned
- Mar 3, 2023
- 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 | 4541 | OK | Primary |
Addresses
Primary practice location
13838 Quail Pointe Dr Ste a
Oklahoma City, OK 73134-1003
Mailing address
1716 Lanesboro Dr
Oklahoma City, OK 73120-3915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230331000826 | OK | Practitioner - Chiropractic | 1355716580 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4541 | OK | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1972203552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 LANESBORO DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731203915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13838 QUAIL POINTE DR STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341003",
"telephone_number": "405-459-0183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JACQUALINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-03",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.