Individual provider Active NPI

Patrick Robert Trenary, D.C.

  • Chiropractor
  • Mason City, IA
National Provider Identifier
1134431679
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007336 Issued in IA
Practice address
122 N Federal Ave
Mason City, IA 50401-3227
Phone
(641) 201-1975
NPI assigned
Jul 13, 2010
Last updated
Jun 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007336 IA Primary
Chiropractor 111N00000X 5264 KY

Addresses

Primary practice location

122 N Federal Ave
Mason City, IA 50401-3227

Mailing address

122 N Federal Ave
Mason City, IA 50401-3227
Phone (641) 201-1975

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000307 IA Practitioner - Chiropractic 6800910027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Active Family Chiropractic LLCGroup PAC ID 5698095503, 2 clinicians

Practice addresses (Care Compare)

1315 6TH St SW
Mason City, IA 50401-4815
Phone (641) 201-1975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007336IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Family Chiropractic LLC Chiropractor CurrentSince Apr 8, 2015 Accepting new patients
Active Family Chiropractic LLC Chiropractor Current Accepting new patients

Locations

1315 6th St SW
Mason City, IA 50401
Phone (641) 201-1975

122 N Federal Ave
Mason City, IA 50401
Phone (641) 201-1975

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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1134431679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N FEDERAL AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013227",
            "telephone_number": "641-201-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N FEDERAL AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013227",
            "telephone_number": "641-201-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENARY",
        "first_name": "PATRICK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007336",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.