Individual provider Active NPI

Adam Thomas Trapp, D.C., C.C.E.P.

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1811290521
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008909 Issued in GA
Practice address
555 Sun Valley Dr
Ste A3
Roswell, GA 30076-5606
Phone
(770) 767-0334
Fax
(770) 767-0334
NPI assigned
Dec 20, 2010
Last updated
Jun 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008909 GA Primary
Chiropractor 111N00000X 38MC00688000 NJ

Addresses

Primary practice location

555 Sun Valley Dr
Ste A3
Roswell, GA 30076-5606

Mailing address

555 Sun Valley Dr
Ste A3
Roswell, GA 30076-5606
Phone (770) 767-0334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722000239 GA Practitioner - Chiropractic 0244417442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

555 Sun Valley Dr
Suite A3
Roswell, GA 30076-5606
Phone (770) 767-0334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Afw Healthcare Inc Chiropractor CurrentSince Jun 8, 2019 Accepting new patients

Locations

555 Sun Valley Dr
Ste A3
Roswell, GA 30076
Phone (770) 485-7101

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1811290521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR",
            "address_2": "STE A3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765606",
            "telephone_number": "770-767-0334",
            "fax_number": "770-767-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR",
            "address_2": "STE A3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765606",
            "telephone_number": "770-767-0334",
            "fax_number": "770-767-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAPP",
        "first_name": "ADAM",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.E.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-20",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008909",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00688000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.

Verify at the official NPI Registry.