Individual provider Active NPI

William Robison Trevor, D.D.S.

  • Dentist
  • Redding, CA
National Provider Identifier
1205152758
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62227 Issued in CA
Practice address
2315 Bechelli LN Ste G
Redding, CA 96002-0119
Phone
(530) 941-9961
NPI assigned
Apr 8, 2010
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62227 CA Primary

Addresses

Primary practice location

2315 Bechelli LN Ste G
Redding, CA 96002-0119

Mailing address

2315 Bechelli LN Ste G
Redding, CA 96002-0119
Phone (530) 223-0797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20151117002722 OR Order and Referring Only - DentistPractitioner - Dentist 5991015273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arrow Dental LLC Past 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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1205152758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 BECHELLI LN STE G",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020119",
            "telephone_number": "530-223-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 BECHELLI LN STE G",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020119",
            "telephone_number": "530-941-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVOR",
        "first_name": "WILLIAM",
        "middle_name": "ROBISON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.