Active NPI
Renald Alexander Trottier, D.C.
- Sports Physician Chiropractor
- Chicago, IL
National Provider Identifier
1992922934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 038-007857
- 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
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-007857 | IL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loop Spine & Sports Center, LTD. | Sports Physician | Current | 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.
-
- Sports Physician Chiropractor
- Chicago, IL
- NPI 1972975464
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.