Active NPI
Paul Alan Trim, DC
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1073785523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5081
- Practice address
- 1432 N 7TH Street
Phoenix, AZ 85006 - Phone
- (602) 222-9595
- Fax
- (602) 234-1211
- NPI assigned
- Mar 25, 2008
- 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 | 5081 | AZ | Primary |
Addresses
Primary practice location
1432 N 7TH Street
Phoenix, AZ 85006
Mailing address
1432 N 7TH Street
Phoenix, AZ 85006
Phone (602) 222-9595
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5051 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Real 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.
-
- Rehabilitation Chiropractor
- Phoenix, AZ
- NPI 1649460791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1073785523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 N 7TH STREET",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85006",
"telephone_number": "602-222-9595",
"fax_number": "602-234-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 N 7TH STREET",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85006",
"telephone_number": "602-222-9595",
"fax_number": "602-234-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIM",
"first_name": "PAUL",
"middle_name": "ALAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-25",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.