Individual provider Active NPI

John David Trainor, D.C.

  • Chiropractor
  • Canton, MI
National Provider Identifier
1053441188
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008878 Issued in MI
Practice address
4195 S Canton Center Rd
Canton, MI 48188-2489
Phone
(734) 397-3779
Fax
(734) 397-3776
NPI assigned
Mar 7, 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 2301008878 MI Primary

Addresses

Primary practice location

4195 S Canton Center Rd
Canton, MI 48188-2489

Mailing address

4195 S Canton Center Rd
Canton, MI 48188-2489
Phone (734) 397-3779

Other identifiers 1

IdentifierTypeStateIssuer
JT008878OtherMIBCBS INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040917000468 MI Practitioner - Chiropractic 0345218418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allen Park Family Chiropractic, PLLCGroup PAC ID 0042393647, 3 clinicians

Practice addresses (Care Compare)

7636 Allen Rd
Allen Park, MI 48101-1926
Phone (313) 388-6099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Park Family Chiropractic, PLLC Chiropractor CurrentSince Nov 20, 2020 Accepting new patients
Quest Health Systems X PLLC Chiropractor Past Accepting new patients

Locations

7636 Allen Rd
Allen Park, MI 48101
Phone (313) 388-6099

Organizations & group practices 2

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053441188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 S CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882489",
            "telephone_number": "734-397-3779",
            "fax_number": "734-397-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 S CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882489",
            "telephone_number": "734-397-3779",
            "fax_number": "734-397-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAINOR",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "JT008878",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.