Individual provider Active NPI

Trent Stromme

  • Chiropractor
  • Bloomington, MN
National Provider Identifier
1093107690
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6054 Issued in MN
Practice address
4575 W 80TH Street Cir
Unit 108
Bloomington, MN 55437-1107
Phone
(701) 740-6930
NPI assigned
Feb 19, 2015
Last updated
Feb 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6054 MN Primary

Addresses

Primary practice location

4575 W 80TH Street Cir
Unit 108
Bloomington, MN 55437-1107

Mailing address

4575 W 80TH Street Cir
Unit 108
Bloomington, MN 55437-1107
Phone (701) 740-6930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806009709 MN Practitioner - Chiropractic 9335453232 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Sport Health Center P.a. Chiropractor Current Accepting new patients
Advanced Chiropractic Health PA Chiropractor CurrentSince Mar 1, 2015 Accepting new patients

Locations

4205 Lancaster Ln N
Ste 105
Plymouth, MN 55441
Phone (763) 536-1112

4345 Nathan Ln N
Ste F
Plymouth, MN 55442
Phone (763) 536-1112

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1093107690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 W 80TH STREET CIR",
            "address_2": "UNIT 108",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371107",
            "telephone_number": "701-740-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 W 80TH STREET CIR",
            "address_2": "UNIT 108",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371107",
            "telephone_number": "701-740-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROMME",
        "first_name": "TRENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.