Active NPI
Matthew Trimner, DC
- Rehabilitation Chiropractor
- Lynnwood, WA
National Provider Identifier
1093254427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH 60719904
- Practice address
- 19031 33Rd Ave W Ste 315
Lynnwood, WA 98036-4731 - Phone
- (715) 965-7499
- NPI assigned
- Feb 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH 60719904 | WA | Primary |
Addresses
Primary practice location
19031 33Rd Ave W Ste 315
Lynnwood, WA 98036-4731
Mailing address
1525 NW 53Rd St Apt 6
Seattle, WA 98107-3860
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 |
|---|---|---|---|
| CH 60719904 | WA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1093254427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 NW 53RD ST APT 6",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981073860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19031 33RD AVE W STE 315",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364731",
"telephone_number": "715-965-7499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIMNER",
"first_name": "MATTHEW",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-17",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "WA",
"license": "CH 60719904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.