Ervin Trilles, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D011599 Issued in AZ

Practice address

1200 Gail Gardner Way
Prescott, AZ 86305-3430

Phone

(282) 274-3059

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1104831908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6329 HARVEST MOON AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863056119",
            "telephone_number": "626-485-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GAIL GARDNER WAY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053430",
            "telephone_number": "282-274-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRILLES",
        "first_name": "ERVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34910",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan F. Tredwell
• Colleen M Tretton, LPC, SEP
• Tri City Surgery Center LLC
• Tri-City Gastroenterology PLC
• Tricity Dental
• Triton Care Systems PLLC
• Shannon Tromp
• Gary Wood Troutman, D.D.S.
• Tru Recovery Solutions, LLC
• True Accountability, LLC

• Dentist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.