Active NPI
Thuc Tri Nguyen, D.C.
- Pharmacist
- Charlotte Hall, MD
National Provider Identifier
1972637015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20969
- Practice address
- 30283 Triangle Dr
Charlotte Hall, MD 20622-3125 - Phone
- (301) 472-1825
- NPI assigned
- Mar 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556077 | VA | |
| Pharmacist | 183500000X | 20969 | MD | Primary |
Addresses
Primary practice location
30283 Triangle Dr
Charlotte Hall, MD 20622-3125
Mailing address
7051 Brookfield PLZ
Springfield, VA 22150-8000
Phone (703) 395-8057
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 437289 | Other | VA | ANTHEM BLUE CROSS BLUE SH |
| 1042533 | Other | CA | ASH |
| 0300683 | Medicaid | VA | |
| 1042723 | Other | PA | CIGNA |
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 |
|---|---|---|---|
| 0104556077 | VA | MD | Chiropractor |
| 20969 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1972637015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7051 BROOKFIELD PLZ",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221508000",
"telephone_number": "703-395-8057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30283 TRIANGLE DR",
"city": "CHARLOTTE HALL",
"state": "MD",
"postal_code": "206223125",
"telephone_number": "301-472-1825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THUC",
"middle_name": "TRI",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556077",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "20969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "437289",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASH",
"identifier": "1042533",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0300683",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1042723",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte Hall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.