Active NPI
Annette Jo Trick, D.C., C.C.S.P.
- Sports Physician Chiropractor
- Durango, CO
National Provider Identifier
1891934071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 6369
- Practice address
- 128 W 14TH St
Suite B
Durango, CO 81301-5100 - Phone
- (970) 422-8026
- NPI assigned
- Feb 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 2615-012 | WI | |
| Sports Physician Chiropractor | 111NS0005X | 1173 | MT | |
| Sports Physician Chiropractor | 111NS0005X | 6369 | CO | Primary |
Addresses
Primary practice location
128 W 14TH St
Suite B
Durango, CO 81301-5100
Mailing address
128 W 14TH St
Suite B
Durango, CO 81301-5100
Phone (970) 422-8026
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1173 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| 6369 | CO | MD | Sports Physician Chiropractor |
| 2615-012 | WI | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300492800000",
"number": "1891934071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 W 14TH ST",
"address_2": "SUITE B",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015100",
"telephone_number": "970-422-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 W 14TH ST",
"address_2": "SUITE B",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015100",
"telephone_number": "970-422-8026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRICK",
"first_name": "ANNETTE",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "D.C., C.C.S.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-12",
"last_updated": "2011-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WI",
"license": "2615-012",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MT",
"license": "1173",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CO",
"license": "6369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.