Individual provider Active NPI

John Eric Trachsel, D.C.

  • Chiropractor
  • Moorpark, CA
National Provider Identifier
1669511317
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24013 Issued in CA
Practice address
14711 Princeton Ave Ste 13
Moorpark, CA 93021-1470
Phone
(805) 523-1354
Fax
(805) 523-0597
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24013 CA Primary

Addresses

Primary practice location

14711 Princeton Ave Ste 13
Moorpark, CA 93021-1470

Mailing address

14711 Princeton Ave Ste 13
Moorpark, CA 93021-1470
Phone (805) 523-1354

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200420001934 ID Practitioner - Chiropractic 6709986466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Spinal DRS IncGroup PAC ID 5496040644, 3 clinicians

Practice addresses (Care Compare)

3135 E Overland Rd
Suite 110
Meridian, ID 83642-7369
Phone (208) 888-0055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC24013CAMDChiropractor

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669511317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14711 PRINCETON AVE STE 13",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211470",
            "telephone_number": "805-523-1354",
            "fax_number": "805-523-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14711 PRINCETON AVE STE 13",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211470",
            "telephone_number": "805-523-1354",
            "fax_number": "805-523-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACHSEL",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.