Individual provider Active NPI

Renald Alexander Trottier, D.C.

  • Sports Physician Chiropractor
  • Chicago, IL
National Provider Identifier
1992922934
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
038-007857 Issued in IL
Practice address
30 N Michigan Ave
Ste 605
Chicago, IL 60602-3806
Phone
(312) 422-0042
Fax
(312) 269-5559
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 038-007857 IL Primary

Addresses

Primary practice location

30 N Michigan Ave
Ste 605
Chicago, IL 60602-3806

Mailing address

6480 Cherokee Dr
Indian Head Park, IL 60525-4321
Phone (312) 437-9355

Other names 1

  • Dr. Ron Trottier Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070918000119 IL Practitioner - Chiropractic 6901990209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 N Michigan Ave
Suite 605
Chicago, IL 60602-3806
Phone (312) 422-0042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-007857ILMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Loop Spine & Sports Center, LTD. Sports Physician CurrentSince Nov 2, 2015 Accepting new patients

Locations

30 N Michigan Ave
Ste 605
Chicago, IL 60602
Phone (312) 269-5556

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1992922934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 CHEROKEE DR",
            "city": "INDIAN HEAD PARK",
            "state": "IL",
            "postal_code": "605254321",
            "telephone_number": "312-437-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "STE 605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023806",
            "telephone_number": "312-422-0042",
            "fax_number": "312-269-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTIER",
        "first_name": "RENALD",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038-007857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RON",
            "last_name": "TROTTIER",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.