Active NPI
Trinity Health Center, PLLC
- Chiropractor
- Gilbert, AZ
National Provider Identifier
1396892626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7413
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.