Active NPI
Phuong Minh Doan, D.C.
- Chiropractor
- Amarillo, TX
National Provider Identifier
1972846095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12307
- Practice address
- 2414 E Amarillo Blvd
Amarillo, TX 79107-5639 - Phone
- (806) 418-2562
- Fax
- (806) 418-2564
- NPI assigned
- Mar 27, 2013
- Last updated
- Jun 4, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 12307 | TX | Primary |
Addresses
Primary practice location
2414 E Amarillo Blvd
Amarillo, TX 79107-5639
Mailing address
2414 E Amarillo Blvd
Amarillo, TX 79107-5639
Phone (806) 418-2562
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 |
|---|---|---|---|
| 12307 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1972846095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2414 E AMARILLO BLVD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791075639",
"telephone_number": "806-418-2562",
"fax_number": "806-418-2564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2414 E AMARILLO BLVD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791075639",
"telephone_number": "806-418-2562",
"fax_number": "806-418-2564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "PHUONG",
"middle_name": "MINH",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-27",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.