Individual provider Active NPI

Lori M Trembath, DDS

  • General Practice Dentistry
  • Thornton, CO
National Provider Identifier
1073568929
Registry record updated Jan 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8942 Issued in CO
Practice address
12774 Colorado Blvd Ste 171
11
Thornton, CO 80241-2887
Phone
(303) 457-3046
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8942 CO Primary

Addresses

Primary practice location

12774 Colorado Blvd Ste 171
11
Thornton, CO 80241-2887

Mailing address

12774 Colorado Blvd Ste 171
11
Thornton, CO 80241-2887
Phone (303) 457-3046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160115000329 CO Order and Referring Only - DentistPractitioner - Dentist 9234432816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8942COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452297600000",
    "number": "1073568929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12774 COLORADO BLVD STE 171",
            "address_2": "11",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412887",
            "telephone_number": "303-457-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12774 COLORADO BLVD STE 171",
            "address_2": "11",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412887",
            "telephone_number": "303-457-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBATH",
        "first_name": "LORI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.