Individual provider Active NPI

David Gerard Trybus, D.C.

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1043342066
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CE 005814 Issued in MO
Practice address
1721 W Elfindale St
Suite # 103
Springfield, MO 65807-1295
Phone
(417) 832-0666
NPI assigned
Mar 12, 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 CE 005814 MO Primary

Addresses

Primary practice location

1721 W Elfindale St
Suite # 103
Springfield, MO 65807-1295

Mailing address

1721 W Elfindale St
Suite # 103
Springfield, MO 65807-1295
Phone (417) 832-0666

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
CE 005814MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Health and Medical Group, LLC Past Accepting new patients

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043342066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 W ELFINDALE ST",
            "address_2": "SUITE # 103",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071295",
            "telephone_number": "417-832-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 W ELFINDALE ST",
            "address_2": "SUITE # 103",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071295",
            "telephone_number": "417-832-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYBUS",
        "first_name": "DAVID",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE 005814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

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.