Organization Active NPI

Trinity Chiropractic, LLC

  • Chiropractor
  • Glendale, AZ
National Provider Identifier
1194200493
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TRINITY CHIROPRACTIC, LLC
Practice address
18275 N 59TH Ave Ste 178
Glendale, AZ 85308-1254
Phone
(602) 603-5444
Fax
(602) 603-5445
NPI assigned
Oct 2, 2018
Last updated
Oct 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
David Iszler, DCNPI 1730198789
Title
Member Manager
Phone
(307) 267-6637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

18275 N 59TH Ave Ste 178
Glendale, AZ 85308-1254

Mailing address

19504 N 68TH Ave
Glendale, AZ 85308-5565
Phone (307) 267-6637

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190409001575 AZ Part B Supplier - Clinic/Group Practice 0244571859 Receives reassigned benefits from 2 practitioners
Practice locations: Glendale, AZ

National Provider Directory

National Provider Directory

Locations

18275 N 59th Ave
Ste 178
Glendale, AZ 85308
Phone (602) 603-5444

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1194200493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19504 N 68TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085565",
            "telephone_number": "307-267-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE 178",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081254",
            "telephone_number": "602-603-5444",
            "fax_number": "602-603-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "ISZLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "307-267-6637",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.