Carl A Trout, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2168 Issued in ND

Practice address

2538 University Dr S
Suite a
Fargo, ND 58103-5714

Phone

(701) 232-1148

Fax

(701) 232-8907

NPI assigned

Nov 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carl a. Trout, DDS, PC

  • Dental Clinic/Center
  • Fargo, ND
  • NPI 1568873032
  NPD (past) Authorized official
• Brent L Holman DDS PC

  • Pediatric Dentistry
  • Fargo, ND
  • NPI 1265595995
  NPD (past)

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1033398458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 UNIVERSITY DR S",
            "address_2": "SUITE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035714",
            "telephone_number": "701-232-1148",
            "fax_number": "701-232-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 UNIVERSITY DR S",
            "address_2": "SUITE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035714",
            "telephone_number": "701-232-1148",
            "fax_number": "701-232-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUT",
        "first_name": "CARL",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ND",
            "license": "2168",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "6734",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40116",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Tronnes, PT, DPT
• Peter V Tronset, PA-C
• Tronsgard and Sullivan DDS Partnership
• Paul James Tronsgard, DDS
• Brittany Marie Trosdahl, DPT
• Malachia Trout, M.D.
• Megan Trout, PHARM.D
• Curtis D. Trowbridge, R.PH.
• Matthew Troyer
• Renae Joy Troyer, OTR/L

• Pediatric Dentistry in Fargo, ND
• Providers in Fargo, ND by specialty
• Pediatric Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.