Active NPI
Edward A Traum, D.C.
- Chiropractor
- Tempe, AZ
National Provider Identifier
1184762593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5820
- Practice address
- 2135 E Southern Ave
Tempe, AZ 85282-7503 - Phone
- (480) 456-3703
- Fax
- (480) 456-0477
- NPI assigned
- Feb 1, 2007
- Last updated
- Nov 9, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5820 | AZ | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 3441 | AZ |
Addresses
Primary practice location
2135 E Southern Ave
Tempe, AZ 85282-7503
Mailing address
2135 E Southern Ave
Tempe, AZ 85282-7503
Phone (480) 456-3703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2135 E Southern Ave
Tempe, AZ 85282-7503
Phone (480) 456-3703
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5820 | AZ | MD | Chiropractor |
| 3441 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3D Integrated Medical, LLC | Chiropractor | Current | Accepting new patients |
Locations
2135 E Southern Ave
Tempe, AZ 85282
Phone (480) 221-9314
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, 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": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1184762593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 E SOUTHERN AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827503",
"telephone_number": "480-456-3703",
"fax_number": "480-456-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 E SOUTHERN AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827503",
"telephone_number": "480-456-3703",
"fax_number": "480-456-0477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUM",
"first_name": "EDWARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5820",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "AZ",
"license": "3441",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.