Organization Active NPI

Trinity Health Center, PLLC

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1396892626
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7413 Issued in AZ
Legal business name
TRINITY HEALTH CENTER, PLLC
Practice address
825 S Cooper Rd Ste B3
Gilbert, AZ 85233-7575
Phone
(480) 755-0912
Fax
(480) 413-1153
NPI assigned
Jan 5, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Breann Moddes, DC
Title
Managing Member
Phone
(480) 755-0912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7413 AZ Primary

Addresses

Primary practice location

825 S Cooper Rd Ste B3
Gilbert, AZ 85233-7575

Mailing address

825 S Cooper Rd Ste B3
Gilbert, AZ 85233-7575
Phone (480) 755-0912

National Provider Directory

National Provider Directory

Locations

825 S Cooper Rd
Ste B2
Gilbert, AZ 85233
Phone (480) 755-0912

825 S Cooper Rd
Ste B3
Gilbert, AZ 85233
Phone (480) 755-0912

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1396892626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S COOPER RD STE B3",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337575",
            "telephone_number": "480-755-0912",
            "fax_number": "480-413-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S COOPER RD STE B3",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337575",
            "telephone_number": "480-755-0912",
            "fax_number": "480-413-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "MODDES",
        "authorized_official_first_name": "BREANN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-755-0912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.