Daniel Lee Trebus, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

019024364 Issued in IL

Practice address

2817 Reilly Road MCDS-NA-B
Department of the Army Dental Activity Stop B
Fort Bragg, NC 28310-7302

Phone

(910) 396-5610

NPI assigned

May 9, 2006

Last updated

Jun 10, 2008By 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 TX

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

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.

• Claremore Indian Hospital

  • General Acute Care Hospital
  • Claremore, OK
  • NPI 1073527842
  NPD (past)
• Lawton Indian Hospital

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1760489223
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1245289974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 REILLY ROAD MCDS-NA-B",
            "address_2": "DEPARTMENT OF THE ARMY DENTAL ACTIVITY STOP B",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107302",
            "telephone_number": "910-396-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ROAD MCDS-NA-B",
            "address_2": "DEPARTMENT OF THE ARMY DENTAL ACTIVITY STOP B",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107302",
            "telephone_number": "910-396-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREBUS",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019024364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Townsend, CRNA
• Nicole Elizabeth Trammell, DPT
• Jane W. Trampus, MSSW,LCSW,EDD
• Kayla Travis, LAT, ATC
• Tabatha Anne Treager, LCSW
• Erin Nicole Trent, PA-C
• Richelle Therese Trippeda, MS, ATC
• Evan T Trivette, M.D.
• Jacqueline Phillips Truitt, M.A. LCMHC, LCAS
• James Quoc Truong, O.D.

• Oral and Maxillofacial Surgery (Dentist) in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.