Individual provider Active NPI

James Steven Trichak, D.D.S.

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1134180763
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3470 Issued in AZ
Practice address
16841 N 31St Ave Ste 140
Phoenix, AZ 85053-3057
Phone
(602) 938-4373
Fax
(602) 843-3911
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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 3470 AZ Primary

Addresses

Primary practice location

16841 N 31St Ave Ste 140
Phoenix, AZ 85053-3057

Mailing address

16841 N 31St Ave Ste 140
Phoenix, AZ 85053-3057
Phone (602) 938-4373

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3470AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
James S Trichak Dentistry, PLLC General Practice PastSince Feb 26, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1134180763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16841 N 31ST AVE STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533057",
            "telephone_number": "602-938-4373",
            "fax_number": "602-843-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16841 N 31ST AVE STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533057",
            "telephone_number": "602-938-4373",
            "fax_number": "602-843-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICHAK",
        "first_name": "JAMES",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.