Active NPI
John Richard Trinity, MD
- Surgery Physician
- Red Oak, IA
National Provider Identifier
1710967559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 26992
- Practice address
- 2241 K Ave
Red Oak, IA 51566-6074 - Phone
- (712) 623-5486
- Fax
- (712) 623-5487
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 26992 | IA | Primary |
| Surgery Physician | 208600000X | 18368 | NE |
Addresses
Primary practice location
2241 K Ave
Red Oak, IA 51566-6074
Mailing address
2241 K Ave
Red Oak, IA 51566-6074
Phone (712) 623-5486
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27084 | Other | IA | BCBS |
| 0270843 | Medicaid | IA |
Other names 1
- J Richard Trinity
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26992 | IA | MD | Surgery Physician |
| 18368 | NE | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1710967559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2241 K AVE",
"city": "RED OAK",
"state": "IA",
"postal_code": "515666074",
"telephone_number": "712-623-5486",
"fax_number": "712-623-5487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2241 K AVE",
"city": "RED OAK",
"state": "IA",
"postal_code": "515666074",
"telephone_number": "712-623-5486",
"fax_number": "712-623-5487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRINITY",
"first_name": "JOHN",
"middle_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "26992",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "18368",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "27084",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0270843",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J",
"last_name": "TRINITY",
"middle_name": "RICHARD",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Red Oak, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.