Individual provider Active NPI

Michael David Tremba, DC

  • Chiropractor
  • Tuscaloosa, AL
National Provider Identifier
1740377142
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3837012 Issued in WI
Practice address
1000 13TH St E Ste D
Tuscaloosa, AL 35404
Phone
(205) 409-8469
Fax
(205) 462-3972
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3837012 WI Primary

Addresses

Primary practice location

1000 13TH St E Ste D
Tuscaloosa, AL 35404

Mailing address

1000 13TH St E Ste D
Tuscaloosa, AL 35404-3809
Phone (205) 409-8469

Other practice location 1

8314 W Lincoln Ave
West Allis, WI 53219
Phone (414) 328-9911

Other identifiers 2

IdentifierTypeStateIssuer
200383368012OtherWIBCBS
P00052996OtherRAILROAD MEDICARE

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3837012WIMDChiropractor
2284ALMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Wellness & Chiropractic Chiropractor Past Accepting new patients
Senior Wellness Group of Alabama PastSince Jan 11, 2010 Accepting new patients
West Allis Chiropractic & Rehab.,LLC Chiropractor PastSince Jan 1, 2004 Accepting new patients

Organizations & group practices 3

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1740377142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 13TH ST E STE D",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354043809",
            "telephone_number": "205-409-8469",
            "fax_number": "205-462-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 13TH ST E STE D",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35404",
            "telephone_number": "205-409-8469",
            "fax_number": "205-462-3972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8314 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "53219",
            "country_code": "US",
            "telephone_number": "414-328-9911",
            "fax_number": "414-328-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREMBA",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3837012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "200383368012",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00052996",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.