Active NPI
Victor Manuel Trevino IX, DC
- Chiropractor
- Laredo, TX
National Provider Identifier
1730267261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3065DC
- Practice address
- 418 Corpus Christi St
Laredo, TX 78040-8474 - Phone
- (956) 724-6771
- Fax
- (956) 724-8680
- NPI assigned
- Nov 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3065DC | TX | Primary |
Addresses
Primary practice location
418 Corpus Christi St
Laredo, TX 78040-8474
Mailing address
418 Corpus Christi St
Laredo, TX 78040-8474
Phone (956) 724-6771
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3065DC | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1730267261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 CORPUS CHRISTI ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780408474",
"telephone_number": "956-724-6771",
"fax_number": "956-724-8680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 CORPUS CHRISTI ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780408474",
"telephone_number": "956-724-6771",
"fax_number": "956-724-8680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "VICTOR",
"middle_name": "MANUEL",
"name_suffix": "IX",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "3065DC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.