Trautman Chiropractic & Spinal Rehabilitation LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010356 Issued in PA

Legal business name

TRAUTMAN CHIROPRACTIC & SPINAL REHABILITATION LLC

Practice address

1701 3Rd St
Beaver, PA 15009-2432

Phone

(724) 709-7612

Fax

(724) 709-7127

NPI assigned

Dec 11, 2014

Last updated

Mar 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Z Trautman, DCNPI 1396047023

Title

Owner

Phone

(724) 709-7612

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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.

• Michael Z Trautman, D.C.

  • Chiropractor
  • Beaver, PA
  • NPI 1396047023
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1568860286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 3RD ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092432",
            "telephone_number": "724-709-7612",
            "fax_number": "724-709-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 3RD ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092432",
            "telephone_number": "724-709-7612",
            "fax_number": "724-709-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUTMAN CHIROPRACTIC & SPINAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "TRAUTMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-709-7612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025391760001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Beaver, PA
• Providers in Beaver, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.