Organization Active NPI

Dr Jeremy K Troxler DMD Inc

  • General Practice Dentistry
  • Canton, OH
National Provider Identifier
1093035263
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-023119 Issued in OH
Legal business name
DR JEREMY K TROXLER DMD INC
Practice address
2205 Tuscarawas St E
Canton, OH 44707-2702
Phone
(330) 453-7299
Fax
(330) 453-7282
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Dr. Jeremy K Troxler, DMD
Title
Dentist
Phone
(330) 453-7299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30-023119 OH Primary

Addresses

Primary practice location

2205 Tuscarawas St E
Canton, OH 44707-2702

Mailing address

2205 Tuscarawas St E
Canton, OH 44707-2702
Phone (330) 453-7299

Other identifiers 1

IdentifierTypeStateIssuer
2972609MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1093035263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 TUSCARAWAS ST E",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447072702",
            "telephone_number": "330-453-7299",
            "fax_number": "330-453-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 TUSCARAWAS ST E",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447072702",
            "telephone_number": "330-453-7299",
            "fax_number": "330-453-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JEREMY K TROXLER DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "TROXLER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "330-453-7299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2972609",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.