Active NPI
Thomas Triden, D.C.
- Chiropractor
- Maple Grove, MN
National Provider Identifier
1386860732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2412
- Practice address
- 7494 East Fish Lake Road
Maple Grove, MN 55311 - Phone
- (763) 416-0155
- Fax
- (763) 425-2237
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2412 | MN | Primary |
Addresses
Primary practice location
7494 East Fish Lake Road
Maple Grove, MN 55311
Mailing address
7494 East Fish Lake Road
Maple Grove, MN 55311
Phone (763) 416-0155
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386860732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7494 EAST FISH LAKE ROAD",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "55311",
"telephone_number": "763-416-0155",
"fax_number": "763-425-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7494 EAST FISH LAKE ROAD",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "55311",
"telephone_number": "763-416-0155",
"fax_number": "763-425-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIDEN",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
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.