Individual provider Active NPI

Scott W. Tromboni, D.C.

  • Chiropractor
  • Lacey, WA
National Provider Identifier
1023151933
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003191 Issued in WA
Practice address
8621 Martin Way E
Ste. 102
Lacey, WA 98516-5855
Phone
(360) 456-4954
Fax
(360) 412-1227
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003191 WA Primary

Addresses

Primary practice location

8621 Martin Way E
Ste. 102
Lacey, WA 98516-5855

Mailing address

8621 Martin Way E
Ste. 102
Lacey, WA 98516-5855
Phone (360) 456-4954

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00003191WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back on Track Chiropractic and Massage, LLC Chiropractor CurrentSince Oct 2, 2012 Accepting new patients

Locations

8621 Martin Way E
Ste 102
Lacey, WA 98516
Phone (360) 456-4954

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023151933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8621 MARTIN WAY E",
            "address_2": "STE. 102",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165855",
            "telephone_number": "360-456-4954",
            "fax_number": "360-412-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8621 MARTIN WAY E",
            "address_2": "STE. 102",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165855",
            "telephone_number": "360-456-4954",
            "fax_number": "360-412-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROMBONI",
        "first_name": "SCOTT",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.