Trevor Prater, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2341 Issued in ID

Practice address

101 W Mullan Ave
Post Falls, ID 83854-9217

Phone

(208) 469-3929

NPI assigned

Sep 12, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ignite Wellness Center PLLC

  dba Ignite Wellness Center

  • Chiropractor
  • Post Falls, ID
  • NPI 1881466902
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1619754603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MULLAN AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549217",
            "telephone_number": "208-469-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MULLAN AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549217",
            "telephone_number": "208-469-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Post Falls Optometric Physicians PLLC (Post Falls Optometric Physicians)
• Post Falls Orthodontics PLLC (Post Falls Orthodontics)
• Post Falls Physical Therapy LLC
• Post Falls Vision Clinic PLLC
• Nicole Prater, DC
• Megan Price, PTA
• Providence Human Services of Wa (ACES Community Services)
• Patricia Ann Provine, OTR
• Psychiatric Resilience LLC
• Michael Gregory Pugsley-Christensen, M.D.

• Chiropractor in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.