Individual provider Active NPI

Trenton Lee Johns, D.C.

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1205002573
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
249500 Issued in KY
Practice address
9204 Taylorsville Rd Ste 110
Louisville, KY 40299-1788
Phone
(502) 267-3040
Fax
(502) 267-0415
NPI assigned
May 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5120 KY
Chiropractor 111N00000X 249500 KY Primary

Addresses

Primary practice location

9204 Taylorsville Rd Ste 110
Louisville, KY 40299-1788

Mailing address

9204 Taylorsville Rd Ste 110
Louisville, KY 40299-1788
Phone (502) 267-3040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080819000348 KY Practitioner - Chiropractic 0648345173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9204 Taylorsville Rd
Suite 110
Louisville, KY 40299-1788
Phone (502) 267-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
249500KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Trenton L Johns PLLC Chiropractor CurrentSince Aug 19, 2008 Accepting new patients

Locations

9204 Taylorsville Rd
Ste 110
Louisville, KY 40299
Phone (502) 267-3040

10101 Taylorsville Rd
Louisville, KY 40299
Phone (502) 267-8610

10101 Taylorsville Rd
Ste 101
Louisville, KY 40299
Phone (502) 267-7453

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1205002573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9204 TAYLORSVILLE RD STE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991788",
            "telephone_number": "502-267-3040",
            "fax_number": "502-267-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 TAYLORSVILLE RD STE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991788",
            "telephone_number": "502-267-3040",
            "fax_number": "502-267-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "TRENTON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5120",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "249500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.