Matthew Lorenzo Trinidad, DC
Individual provider Active NPI Chiropractor · Hammond, IN
NPI 1487328316 · NPPES record last updated Apr 8, 2022
Key facts
- NPI
- 1487328316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08003217A (IN)
- Practice address
- 1828 165TH St Ste a
Hammond, IN 46320-2823 - Phone
- (219) 763-8112
- Fax
- (219) 764-5333
- NPI assigned
- Aug 4, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northshore Health Centers Inc
Practice addresses (Care Compare)
2490 Central Ave
Lake Station, IN 46405-2122
Phone (219) 763-8112
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220502000317 | IN | Practitioner - Chiropractic | 0648667196 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Health Centers, Inc | Chiropractor | Current |
Accepting new patients |
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Current |
Accepting new patients |
Locations
1828 165th St
Hammond, IN 46320
Phone (219) 644-3957
1828 165th St
Ste A
Hammond, IN 46320
Phone (219) 764-5349
2490 Central Ave
Lake Station, IN 46405
6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188
Interoperability endpoints
- matthew.trinidad.p1@direct.northshorehealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08003217A | IN | Yes |
Addresses
Primary practice location
1828 165TH St Ste a
Hammond, IN 46320-2823
Mailing address
PO Box 1430
Portage, IN 46368-9230
Phone (219) 763-8112
Other providers in Hammond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.