Individual provider Active NPI

Anthony H Trotter, D.C.

  • Chiropractor
  • Shawnee, KS
National Provider Identifier
1427451772
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05835 Issued in KS
Practice address
10610 Shawnee Mission Pkwy
Ste 210
Shawnee, KS 66203-3501
Phone
(913) 248-9500
Fax
(913) 248-1212
NPI assigned
Oct 1, 2014
Reactivated
Dec 7, 2018
Last updated
Dec 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05835 KS Primary

Addresses

Primary practice location

10610 Shawnee Mission Pkwy
Ste 210
Shawnee, KS 66203-3501

Mailing address

10610 Shawnee Mission Pkwy
Ste 210
Shawnee, KS 66203-3501
Phone (913) 248-9500

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

State licenses

LicenseStateTypeSpecialty
01-05835KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Heuser Chiropractic, P.C. Chiropractor Past Accepting new patients
Active Chiropractic, P.a. Chiropractor PastSince Mar 25, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1427451772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 SHAWNEE MISSION PKWY",
            "address_2": "STE 210",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033501",
            "telephone_number": "913-248-9500",
            "fax_number": "913-248-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 SHAWNEE MISSION PKWY",
            "address_2": "STE 210",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033501",
            "telephone_number": "913-248-9500",
            "fax_number": "913-248-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "ANTHONY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2018-12-10",
        "deactivation_date": "2018-11-30",
        "reactivation_date": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.