Physician Compare National (NPI:1205002573)

HEALTHCARE PROVIDER: TRENTON LEE JOHNS D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1205002573
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648345173
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080819000348
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JOHNS
	Individual professional last name
Provider First Name	TRENTON
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9204 TAYLORSVILLE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	LOUISVILLE
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	402991788
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y