Trenton Kyle Burrup, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1310 Issued in WY

Practice address

2 N Main St Ste 405
Sheridan, WY 82801-6324

Phone

(307) 672-7439

Fax

(307) 672-7439

NPI assigned

Feb 21, 2013

Last updated

Feb 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

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

State licenses

Practice roles

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.

• Sheridan Wyo Dental

  • General Practice Dentistry
  • Sheridan, WY
  • NPI 1013330794
  NPD (past)
• Sheridan Wyo Dental

  • General Practice Dentistry
  • Sheridan, WY
  • NPI 1902147275
  NPD (past)

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1134469570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N MAIN ST STE 405",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016324",
            "telephone_number": "307-672-7439",
            "fax_number": "307-672-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N MAIN ST STE 405",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016324",
            "telephone_number": "307-672-7439",
            "fax_number": "307-672-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRUP",
        "first_name": "TRENTON",
        "middle_name": "KYLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Buckingham
• Edward Bujans, LCSW
• Mary Burgess
• Julie Burian, PHARM.D.
• Laura L Burrell
• Taisshia Burt
• Colby Butler, APRN, NP-C
• Colleen M Butler, FNP, RN
• Nicole Butler, M.S., CCC-SLP
• Chae Bybee, LPC, CPC

• General Practice Dentistry in Sheridan, WY
• Providers in Sheridan, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.