Active NPI
Anthony Edward Trombly, DC
- Chiropractor
- Lowell, MI
National Provider Identifier
1770628349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301002268
- Practice address
- 2230 W Main St
Lowell, MI 49331-9504 - Phone
- (616) 987-4445
- Fax
- (616) 987-4440
- NPI assigned
- Feb 21, 2007
- 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 | 2301002268 | MI | Primary |
Addresses
Primary practice location
2230 W Main St
Lowell, MI 49331-9504
Mailing address
2230 W Main St
Lowell, MI 49331-9504
Phone (616) 987-4445
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950D150750 | Other | MI | BLUE CROSS & BLUE SHEILD |
| 4304102 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120404000579 | MI | Practitioner - Chiropractic | 7810093705 | Practice locations: Lowell, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2230 W Main St
Lowell, MI 49331-9504
Phone (616) 987-4445
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301002268 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1770628349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 W MAIN ST",
"city": "LOWELL",
"state": "MI",
"postal_code": "493319504",
"telephone_number": "616-987-4445",
"fax_number": "616-987-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 W MAIN ST",
"city": "LOWELL",
"state": "MI",
"postal_code": "493319504",
"telephone_number": "616-987-4445",
"fax_number": "616-987-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMBLY",
"first_name": "ANTHONY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301002268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHEILD",
"identifier": "950D150750",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4304102",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MI
- Deborah Miller Thomas, PT
- Thornapple Ophthalmology Thornapple Ophthalmology Assoc PC (Advanced Eyecare Professionals)
- Thrivepoint Counseling and Behavioral Health LLC
- Michelle Tran, PHARM.D. INTERN
- Trinity Life Care, Inc. (Trinity Life Care)
- Paul R. Troost, DO
- Shana Tundevold
- Joshua Twiest, LLC
- Usv Optical Inc.
- Usv Optical, Inc. (Meijer Optical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.