Active NPI
Richard Earl Trippensee, DDS
- Dentist
- Winter Haven, FL
National Provider Identifier
1225258353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9004
- Practice address
- 7000 State Road 554 East
Suite 4
Winter Haven, FL 33881 - Phone
- (863) 297-9037
- Fax
- (863) 297-5183
- NPI assigned
- Apr 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9004 | FL | Primary |
| Dentist | 122300000X | DD1875 | NM | |
| Dentist | 122300000X | 013544 | MO |
Addresses
Primary practice location
7000 State Road 554 East
Suite 4
Winter Haven, FL 33881
Mailing address
75 SW 114TH Terr
Coral Springs, FL 33071
Phone (954) 753-5526
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 |
|---|---|---|---|
| 9004 | FL | MD | Dentist |
| 013544 | MO | MD | Dentist |
| DD1875 | NM | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225258353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 SW 114TH TERR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "33071",
"telephone_number": "954-753-5526",
"fax_number": "954-753-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 STATE ROAD 554 EAST",
"address_2": "SUITE 4",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "33881",
"telephone_number": "863-297-9037",
"fax_number": "863-297-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPPENSEE",
"first_name": "RICHARD",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "9004",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD1875",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "013544",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.