John Edward Trok, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009929 Issued in IN

Practice address

1001 Chestnut Hills Pkwy
Suite 5
Fort Wayne, IN 46814-8933

Phone

(260) 625-5100

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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 IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Heidi J Krider, DDS, PC

  dba Krider Dental Wellness Center

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1326764077
  NPD (past)
• Sleep Impressions, LLC

  dba Sleep Impressions

  • Specialist
  • Saint Louis, MO
  • NPI 1134547912
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275564486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CHESTNUT HILLS PKWY",
            "address_2": "SUITE 5",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148933",
            "telephone_number": "260-625-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CHESTNUT HILLS PKWY",
            "address_2": "SUITE 5",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148933",
            "telephone_number": "260-625-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROK",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Health Pharmacy Services, LLC
• Trinity Home Health Care, Inc.
• Trinity Wellness Enterprises, Inc.
• Tristate Optical, Inc. (Cunningham Optical One)
• Rupal Trivedi, RD
• Bradley Trotter, DO
• Megan L. Trotter, NP
• Shane Trotter, PA
• Sara Trovinger, PHARMD
• Debra A Trowbridge, RN BSN

• General Practice Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Dentistry in Indiana

• 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.
• 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.