Active NPI
Anthony S. Troia Jr., DDS
- General Practice Dentistry
- Lincoln, NE
National Provider Identifier
1063401982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4780
- Practice address
- 2110 S 38TH St
Lincoln, NE 68506-6021 - Phone
- (402) 488-9022
- Fax
- (402) 488-9022
- NPI assigned
- Oct 14, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4780 | NE | Primary |
Addresses
Primary practice location
2110 S 38TH St
Lincoln, NE 68506-6021
Mailing address
2110 S 38TH St
Lincoln, NE 68506-6021
Phone (402) 488-9022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47070763600 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4780 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1063401982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 S 38TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685066021",
"telephone_number": "402-488-9022",
"fax_number": "402-488-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 S 38TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685066021",
"telephone_number": "402-488-9022",
"fax_number": "402-488-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROIA",
"first_name": "ANTHONY",
"middle_name": "S.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "4780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070763600",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.