DR. DUY DUC NGUYEN (D.C.) – Chiropractor, NPI 1619053907

DR. DUY DUC NGUYEN (D.C.) is a healthcare provider. based in Affton, Missouri. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 2004026183 (MO). The NPI Number for DR. DUY DUC NGUYEN (D.C.) is 1619053907

Main info

Male
Sole Proprietor
22 Years Of Experience
Name
DR. DUY DUC NGUYEN (D.C.)
NPI
1619053907
Phone
(314) 853-5455
Address
4348 SCHMITTWOODS CT
Enumeration Date
28 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
2175021181
Graduation Year
2004 (22 years ago)
PAC ID
3173573730
Group Practice PAC ID
8729466610
Professional Enrollment ID
I20230124002640
Address ID
IL626756018PE1393697XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,129 CHIROPRACTIC in MO

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Provider Addresses for DR. DUY DUC NGUYEN (D.C.)

  • 4348, Schmittwoods Court, Susan Gardens, Lemay, Saint Louis County, Missouri, 63123, United States

    AFFTON, MO 631236731

    Phone: (314) 853-5455

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230124002640IChiropracticILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729466610View full group profile
NameSpecialtyState
C H I R O P R A C T I CIL

Reviews

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Frequently asked questions

What federal number belongs to DR. DUY DUC NGUYEN (D.C.)?
The federal identifier for DR. DUY DUC NGUYEN (D.C.) is NPI 1619053907.
Does this profile mean DR. DUY DUC NGUYEN (D.C.) is currently active?
Yes — DR. DUY DUC NGUYEN (D.C.) appears active in the national provider directory.
What field does DR. DUY DUC NGUYEN (D.C.) work in?
You can think of DR. DUY DUC NGUYEN (D.C.) as practicing within Chiropractor. Clinical services aligned with this taxonomy classification.
Where is DR. DUY DUC NGUYEN (D.C.)'s primary listing?
We display Affton, Missouri because that is what the record indicates for DR. DUY DUC NGUYEN (D.C.).
Is DR. DUY DUC NGUYEN (D.C.) a real provider?
This page reflects official NPPES data for NPI 1619053907. Always confirm identity and privileges with the practice and licensing boards.

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