Active NPI
Kody Trivette
- Chiropractor
- Grayson, KY
National Provider Identifier
1750953618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 271956
- Practice address
- 710 N Carol Malone Blvd Ste B
Grayson, KY 41143-1126 - Phone
- (606) 618-9600
- NPI assigned
- Jul 12, 2021
- Last updated
- Aug 4, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 271956 | KY | Primary |
Addresses
Primary practice location
710 N Carol Malone Blvd Ste B
Grayson, KY 41143-1126
Mailing address
710 N Carol Malone Blvd Ste B
Grayson, KY 41143-1126
Phone (606) 618-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
710 N Carol Malone Blvd
Suite B
Grayson, KY 41143-1126
Phone (606) 618-9600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Health Centers of Grayson | Chiropractor | Current | Accepting new patients |
| Core Health Centers of Dry Ridge LLC | Chiropractor | Past | Accepting new patients |
Locations
710 N Carol Malone Blvd
#B
Grayson, KY 41143
Phone (606) 618-9600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Grayson, KY
- NPI 1295206209
-
- Chiropractor
- Dry Ridge, KY
- NPI 1194332338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1750953618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N CAROL MALONE BLVD STE B",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411431126",
"telephone_number": "606-618-9600",
"fax_number": "606-393-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 N CAROL MALONE BLVD STE B",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411431126",
"telephone_number": "606-618-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVETTE",
"first_name": "KODY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-12",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "271956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.