Organization Active NPI

Patrick a. Tribble Chiropractic, Inc.

  • Chiropractor
  • Berkeley, CA
National Provider Identifier
1720118011
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC15054 Issued in CA
Legal business name
PATRICK A. TRIBBLE CHIROPRACTIC, INC.
Practice address
912 The Alameda
Berkeley, CA 94707-2308
Phone
(510) 525-4825
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patrick Allen Tribble, D.C.NPI 1750422077
Title
President
Phone
(510) 525-4825

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 DC15054 CA Primary

Addresses

Primary practice location

912 The Alameda
Berkeley, CA 94707-2308

Mailing address

912 The Alameda
Berkeley, CA 94707-2308
Phone (510) 525-4825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902001128 CA Part B Supplier - Clinic/Group Practice 8820064611 Receives reassigned benefits from 1 practitioner
Practice locations: Berkeley, CA

National Provider Directory

National Provider Directory

Locations

912 The Alameda
Berkeley, CA 94707
Phone (510) 525-4825

Practitioners & affiliated clinicians

Practitioners 3

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720118011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 THE ALAMEDA",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072308",
            "telephone_number": "510-525-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 THE ALAMEDA",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072308",
            "telephone_number": "510-525-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK A. TRIBBLE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIBBLE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-525-4825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.