Active NPI
Jeffrey A. Trinka, D.C.
- Chiropractor
- Avondale, AZ
National Provider Identifier
1861476749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5906
- Practice address
- 11 W. Van Buren St
Suite 28
Avondale, AZ 85323 - Phone
- (623) 932-4060
- Fax
- (623) 932-4417
- NPI assigned
- Dec 3, 2005
- 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 | 5906 | AZ | Primary |
Addresses
Primary practice location
11 W. Van Buren St
Suite 28
Avondale, AZ 85323
Mailing address
11 W. Van Buren St
Suite 28
Avondale, AZ 85323
Phone (623) 932-4060
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28071286 | Other | AZ | WORKERS COMPENSATION |
| 861019561 | Other | AZ | TAX ID |
| 1Z4727 | Other | AZ | HEALTH NET |
| AZ0932530 | Other | AZ | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5906 | AZ | MD | Occupational Therapy Assistant |
Organizations & group practices 1
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.
-
- Chiropractor
- Avondale, AZ
- NPI 1326298829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242000000000",
"number": "1861476749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 W. VAN BUREN ST",
"address_2": "SUITE 28",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "85323",
"telephone_number": "623-932-4060",
"fax_number": "623-932-4417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 W. VAN BUREN ST",
"address_2": "SUITE 28",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "85323",
"telephone_number": "623-932-4060",
"fax_number": "623-932-4417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRINKA",
"first_name": "JEFFREY",
"middle_name": "A.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-03",
"last_updated": "2009-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5906",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "28071286",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "861019561",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "1Z4727",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0932530",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.