Active NPI
Active Family Chiropractic LLC
- Chiropractor
- Mason City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007339
- Legal business name
- ACTIVE FAMILY CHIROPRACTIC LLC
- Practice address
- 122 N Federal Ave
Mason City, IA 50401-3227 - Phone
- (641) 201-1975
- Fax
- (641) 201-1975
- NPI assigned
- May 5, 2015
- Last updated
- May 5, 2015
- 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. Patrick R. Trenary, D.C.
- Title
- President
- Phone
- (641) 201-1975
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007339 | IA | Primary |
Addresses
Primary practice location
122 N Federal Ave
Mason City, IA 50401-3227
Mailing address
122 N Federal Ave
Mason City, IA 50401-3227
Phone (641) 201-1975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Active Family Chiropractic LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Mason City, IA
- NPI 1629948765
Locations
122 N Federal Ave
Mason City, IA 50401
Phone (641) 201-1975
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Mason City, IA
- NPI 1134431679
-
- Chiropractor
- Forest City, IA
- NPI 1659171627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430784000000",
"number": "1487031928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 N FEDERAL AVE",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504013227",
"telephone_number": "641-201-1975",
"fax_number": "641-201-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 N FEDERAL AVE",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504013227",
"telephone_number": "641-201-1975",
"fax_number": "641-201-1975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVE FAMILY CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-05",
"last_updated": "2015-05-05",
"status": "A",
"authorized_official_last_name": "TRENARY",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "641-201-1975",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "007339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.