Active NPI
Troy Roger Springer, D.M.D.
- Dentist
- Elkhart, IN
National Provider Identifier
1184851164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12011330A
- Practice address
- 3702 E Mishawaka Rd
Elkhart, IN 46517-3550 - Phone
- (574) 875-6595
- NPI assigned
- Jun 17, 2009
- Last updated
- Oct 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12011330A | IN | Primary |
Addresses
Primary practice location
3702 E Mishawaka Rd
Elkhart, IN 46517-3550
Mailing address
3702 E Mishawaka Rd
Elkhart, IN 46517-3550
Phone (574) 875-6595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110628000780 | IN | Order and Referring Only - Oral Surgery | 2860670569 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011330A | IN | MD | Dentist |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Elkhart, IN
- NPI 1245661446
-
dba Springer Dental Care of Mishawaka
- Dental Clinic/Center
- Mishawaka, IN
- NPI 1700693991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1184851164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 E MISHAWAKA RD",
"city": "ELKHART",
"state": "IN",
"postal_code": "465173550",
"telephone_number": "574-875-6595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 E MISHAWAKA RD",
"city": "ELKHART",
"state": "IN",
"postal_code": "465173550",
"telephone_number": "574-875-6595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGER",
"first_name": "TROY",
"middle_name": "ROGER",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-17",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12011330A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
- Shirley B. Souder, M.S.W.
- Spa, Inc. (SPA Women's Ministry Homes)
- Spine Sports and Industrial Rehabilitation of Elkhart (SSIR of Elkhart)
- Brooklyn Spirito, LMHC, NCC
- Springer Dental Care LLC
- Dannet Sprowls
- Amy M Spurgeon, LCSW
- Jody L Srof, FNP
- St. Joseph Community Hospital (Midwifery of Michiana@St. Joseph Regional Medical Center)
- Abigail Stack
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.