Active NPI
Trisha Charland, D.M.D.
- Endodontics
- New York, NY
National Provider Identifier
1134329071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 055863
- Practice address
- 30 E 40TH St
Suite 1003
New York, NY 10016-1201 - Phone
- (212) 684-7710
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 055863 | NY | Primary |
| Endodontics | 1223E0200X | 22DI0234910 | NJ |
Addresses
Primary practice location
30 E 40TH St
Suite 1003
New York, NY 10016-1201
Mailing address
30 E 40TH St
Suite 1003
New York, NY 10016-1201
Phone (212) 684-7710
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI0234910 | NJ | MD | Endodontist |
| 055863 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1134329071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E 40TH ST",
"address_2": "SUITE 1003",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161201",
"telephone_number": "212-684-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E 40TH ST",
"address_2": "SUITE 1003",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161201",
"telephone_number": "212-684-7710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLAND",
"first_name": "TRISHA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "055863",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "22DI0234910",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.