Organization Active NPI

Trapp Spinal Care, PLLC

  • Chiropractor
  • Broken Arrow, OK
National Provider Identifier
1912376609
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3369 Issued in OK
Legal business name
TRAPP SPINAL CARE, PLLC
Practice address
2017 S Elm PL
Suite 100
Broken Arrow, OK 74012-7034
Phone
(918) 449-9555
Fax
(918) 449-9559
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Dr. Conrad Louis Trapp, DCNPI 1548320195
Title
Managing Member
Phone
(918) 449-9555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3369 OK Primary

Addresses

Primary practice location

2017 S Elm PL
Suite 100
Broken Arrow, OK 74012-7034

Mailing address

2017 S Elm PL
Suite 100
Broken Arrow, OK 74012-7034
Phone (918) 449-9555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151214001001 OK Part B Supplier - Clinic/Group Practice 3274834411 Receives reassigned benefits from 2 practitioners
Practice locations: Broken Arrow, OK

National Provider Directory

National Provider Directory

Locations

2017 S Elm Pl
Ste 100
Broken Arrow, OK 74012
Phone (918) 449-9555

307 W Washington St
Broken Arrow, OK 74012
Phone (918) 449-9555

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1912376609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 S ELM PL",
            "address_2": "SUITE 100",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127034",
            "telephone_number": "918-449-9555",
            "fax_number": "918-449-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 S ELM PL",
            "address_2": "SUITE 100",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127034",
            "telephone_number": "918-449-9555",
            "fax_number": "918-449-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAPP SPINAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "TRAPP",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "918-449-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.

Verify at the official NPI Registry.