Trout Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC001304L Issued in PA

Legal business name

TROUT CHIROPRACTIC CENTER PC

Practice address

22 N Main St
Mifflintown, PA 17059-1003

Phone

(717) 436-8281

Fax

(717) 436-5025

NPI assigned

Nov 14, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Gary W Trout, DC

Title

President

Phone

(717) 436-9885

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• S Corporation Other name

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518949841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N MAIN ST",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170591003",
            "telephone_number": "717-436-9885",
            "fax_number": "717-436-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N MAIN ST",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170591003",
            "telephone_number": "717-436-8281",
            "fax_number": "717-436-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROUT CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TROUT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-436-9885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001304L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "795",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "TR994246",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016781900001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "03088800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Diane Marie Smooke, OTR/L
• Amy M Spatz, DPT
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• Todd Alan Taylor, DO
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• Chiropractor in Mifflintown, PA
• Providers in Mifflintown, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.