Organization Active NPI

Trinity Chiropractic LLC

  • Chiropractor
  • Arvada, CO
National Provider Identifier
1669487351
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5883 Issued in CO
Legal business name
TRINITY CHIROPRACTIC LLC
Practice address
8410 Wadsworth Blvd
Suite a
Arvada, CO 80003-0917
Phone
(303) 425-9557
Fax
(303) 425-3399
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Eric Dax Rupp, D.C.NPI 1679502090
Title
Owner
Phone
(303) 425-9557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5883 CO Primary

Addresses

Primary practice location

8410 Wadsworth Blvd
Suite a
Arvada, CO 80003-0917

Mailing address

8410 Wadsworth Blvd
Suite a
Arvada, CO 80003-0917

Other identifiers 1

IdentifierTypeStateIssuer
DI657284OtherCOBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070201000546 CO Part B Supplier - Clinic/Group Practice 0840292926 Receives reassigned benefits from 1 practitioner
Practice locations: Broomfield, CO

National Provider Directory

National Provider Directory

Locations

8270 W 80th Ave
Unit 13
Arvada, CO 80005
Phone (720) 727-0404

8433 Church Ranch Blvd
Unit 100
Westminster, CO 80021
Phone (303) 465-4400

7535 W 92nd Ave
Ste 600
Westminster, CO 80021
Phone (303) 425-9557

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1669487351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 WADSWORTH BLVD",
            "address_2": "SUITE A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800030917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 WADSWORTH BLVD",
            "address_2": "SUITE A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800030917",
            "telephone_number": "303-425-9557",
            "fax_number": "303-425-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "RUPP",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-425-9557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "DI657284",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.