Dr. D. J. Trzpuc, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1660 Issued in ND

Legal business name

DR. D. J. TRZPUC, DDS

Practice address

111 East Main St
Center, ND 58530-1215

Phone

(701) 794-8796

Fax

(701) 794-8796

NPI assigned

Oct 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Darrell John Trzpuc, DDS

Title

President

Phone

(701) 794-8796

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013007566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1215",
            "city": "CENTER",
            "state": "ND",
            "postal_code": "585301215",
            "telephone_number": "701-794-8796",
            "fax_number": "701-794-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EAST MAIN ST",
            "city": "CENTER",
            "state": "ND",
            "postal_code": "585301215",
            "telephone_number": "701-794-8796",
            "fax_number": "701-794-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. D. J. TRZPUC, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRZPUC",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-794-8796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40794",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.