Michael Trieu, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

107458 Issued in CA

Practice address

460 N McKinley St
Corona, CA 92879-3405

Phone

(951) 531-9693

NPI assigned

Jul 11, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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.

• Trevor Thomas Dental Corporation

  dba Corona Modern Dentistry Dental Group

  • General Practice Dentistry
  • Corona, CA
  • NPI 1639731888
  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1114651759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 HILARIA WAY",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N MCKINLEY ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793405",
            "telephone_number": "951-531-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIEU",
        "first_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "107458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.coronahillsmoderndentistry.com/",
            "affiliation": "N",
            "endpointDescription": "office website",
            "address_1": "460 N McKinley St Ste 101",
            "city": "Corona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928793405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dylan Trevathan
• Anel Trevino
• Didier Jorace Trevizo, DC
• Trevor Thomas Dental Corporation (Corona Modern Dentistry Dental Group)
• Tri-County Eye Institute Inc
• Jennifer Trigerous
• Susan Trinh, M.D.
• Tru Care Non Medical Transit Services Inc
• True Doc Medical Group Inc.
• Carlee Trujillo

• Orthodontics and Dentofacial Orthopedics Dentistry in Corona, CA
• Providers in Corona, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.