Phillips B Trautman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00005494 Issued in WA

Practice address

4164 Meridian St
Suite 300
Bellingham, WA 98226-5583

Phone

(360) 676-8822

Fax

(360) 676-7488

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1023194701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4164 MERIDIAN ST",
            "address_2": "SUITE 300",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265583",
            "telephone_number": "360-676-8822",
            "fax_number": "360-676-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 MERIDIAN ST",
            "address_2": "SUITE 300",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265583",
            "telephone_number": "360-676-8822",
            "fax_number": "360-676-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUTMAN",
        "first_name": "PHILLIPS",
        "middle_name": "B",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5044672",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "3872TR",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LABOR AND INDUSTRIE",
            "identifier": "0174916",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Minh Tran, D.C.
• Sabrina Tran
• Trong Hieu Tran, RDH
• Transmute Therapy, PLLC
• David Trauscht, MD
• Joanna Trebacz, PHARMACIST
• Treehouse Support Services
• Margaret Tremblay
• Kipp Daniel Trembley
• Stella Grace Trepiccione, M.S., CF-SLP

• General Practice Dentistry in Bellingham, WA
• Providers in Bellingham, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.