Trent R Jones, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001127A Issued in IN

Practice address

20 E 3Rd St
Peru, IN 46970-2215

Phone

(765) 472-7777

Fax

(765) 472-7475

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Advanced Integrative Medicine and Chiropractice Wellness Center PC

  • Chiropractor
  • Peru, IN
  • NPI 1225232283
  NPD (past) Authorized official

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1083616262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1066",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469704066",
            "telephone_number": "765-472-7777",
            "fax_number": "765-472-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 3RD ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469702215",
            "telephone_number": "765-472-7777",
            "fax_number": "765-472-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TRENT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001127A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000182696",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100179460A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RR MEDICARE",
            "identifier": "350013985",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnson Memorial Hospital
• Tanisha Johnson, LPN
• Aaron Michael Jones, D.C.
• Amanda Lynn Jones, D.C.
• Michael Lee Jones, M.D.
• Justin Brown DDS LLC
• Kairos Clinic
• Eamonn M Keane, MD
• Richard L Keller II, MD
• Stephen D Kennedy, MD

• Chiropractor in Peru, IN
• Providers in Peru, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.