Individual provider Active NPI

Adam J Trinque, D.P.M.

  • Podiatrist
  • Montgomery, AL
National Provider Identifier
1902161474
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
325 Issued in AL
Practice address
1558 E Trinity Blvd
Montgomery, AL 36106-3609
Phone
(334) 396-3338
NPI assigned
Jul 10, 2012
Last updated
Apr 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3695 FL
Podiatrist 213E00000X 325 AL Primary

Addresses

Primary practice location

1558 E Trinity Blvd
Montgomery, AL 36106-3609

Mailing address

1558 E Trinity Blvd
Montgomery, AL 36106-3609
Phone (334) 396-3338

Other identifiers 1

IdentifierTypeStateIssuer
015136900MedicaidFL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
830TNMDFamily Medicine Physician
325ALMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1902161474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 E TRINITY BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063609",
            "telephone_number": "334-396-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 E TRINITY BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063609",
            "telephone_number": "334-396-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINQUE",
        "first_name": "ADAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3695",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015136900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.