Individual provider Active NPI

Tony Thomas Trujillo, DC

  • Chiropractor
  • Hot Springs Village, AR
National Provider Identifier
1528030566
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1552 Issued in AR
Practice address
101 Dentista Dr
Ste K
Hot Springs Village, AR 71909
Phone
(501) 922-0800
Fax
(501) 922-0846
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1552 AR Primary

Addresses

Primary practice location

101 Dentista Dr
Ste K
Hot Springs Village, AR 71909

Mailing address

101 Dentista Dr
Ste K
Hot Springs Village, AR 71909
Phone (501) 922-0800

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
19172TXMDDentist
1552ARMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Maffeo Pediatric Therapy Management, LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1528030566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DENTISTA DR",
            "address_2": "STE K",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "71909",
            "telephone_number": "501-922-0800",
            "fax_number": "501-922-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DENTISTA DR",
            "address_2": "STE K",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "71909",
            "telephone_number": "501-922-0800",
            "fax_number": "501-922-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "TONY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.