Active NPI
Jesse Daniel Trombla, D.C.
- Chiropractor
- Overland Park, KS
National Provider Identifier
1053676023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0105619
- Practice address
- 7419 Metcalf Ave
Overland Park, KS 66204-1975 - Phone
- (913) 579-1154
- Fax
- (913) 273-0081
- NPI assigned
- Jul 5, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 0105619 | KS | Primary |
Addresses
Primary practice location
7419 Metcalf Ave
Overland Park, KS 66204-1975
Mailing address
7419 Metcalf Ave
Overland Park, KS 66204-1975
Phone (913) 579-1154
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 |
|---|---|---|---|
| 0105619 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Wellness Clinic, LLC | Chiropractor | 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.
-
- Chiropractor
- Overland Park, KS
- NPI 1679969422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1053676023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7419 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662041975",
"telephone_number": "913-579-1154",
"fax_number": "913-273-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7419 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662041975",
"telephone_number": "913-579-1154",
"fax_number": "913-273-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMBLA",
"first_name": "JESSE",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-05",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "0105619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.