Active NPI
Shannon Renee Trenta Kolm, D.C.
- Chiropractor
- Lambertville, MI
National Provider Identifier
1265587463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009082
- Practice address
- 6588 Secor Rd
Lambertville, MI 48144-9431 - Phone
- (734) 856-6411
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009082 | MI | Primary |
Addresses
Primary practice location
6588 Secor Rd
Lambertville, MI 48144-9431
Mailing address
8737 Tanglewood Rd
Temperance, MI 48182-9253
Phone (734) 847-6089
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 |
|---|---|---|---|
| 2301009082 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schwanger Chiropractic Offices, P.C. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Lambertville, MI
- NPI 1790960581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265587463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8737 TANGLEWOOD RD",
"city": "TEMPERANCE",
"state": "MI",
"postal_code": "481829253",
"telephone_number": "734-847-6089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6588 SECOR RD",
"city": "LAMBERTVILLE",
"state": "MI",
"postal_code": "481449431",
"telephone_number": "734-856-6411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENTA KOLM",
"first_name": "SHANNON",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lambertville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.