Individual provider Active NPI

Douglas L. Trippel, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Bellevue, WA
National Provider Identifier
1164512869
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE00005495 Issued in WA
Practice address
14420 Bel Red Rd Ste 201
Bellevue, WA 98007-3930
Phone
(425) 644-8000
Fax
(425) 644-4888
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DE00005495 WA Primary

Addresses

Primary practice location

14420 Bel Red Rd Ste 201
Bellevue, WA 98007-3930

Mailing address

14420 Bel Red Rd Ste 201
Bellevue, WA 98007-3930
Phone (425) 644-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 13, 2014 through Dec 13, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trippel & Audia, PLLC Oral and Maxillofacial Surgery PastSince Mar 1, 2003 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164512869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14420 BEL RED RD STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073930",
            "telephone_number": "425-644-8000",
            "fax_number": "425-644-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14420 BEL RED RD STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073930",
            "telephone_number": "425-644-8000",
            "fax_number": "425-644-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPPEL",
        "first_name": "DOUGLAS",
        "middle_name": "L.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00005495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.