Active NPI
Kenneth Paul TRCH, DDS
- General Practice Dentistry
- Sycamore, IL
National Provider Identifier
1356551469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.026990
- Practice address
- 2025 Aberdeen CT
Sycamore, IL 60178-3140 - Phone
- (815) 758-3666
- NPI assigned
- May 23, 2007
- Last updated
- Nov 1, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.026990 | IL | Primary |
Addresses
Primary practice location
2025 Aberdeen CT
Sycamore, IL 60178-3140
Mailing address
615 Adams Ave
St Charles, IL 60174-3070
Phone (312) 622-2090
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 |
|---|---|---|---|
| 019.026990 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collins Dental Group, P.C. | General Practice | Past | Accepting new patients |
| Kenneth P. TRCH, DDS, P.C. | Past | Accepting new patients |
Interoperability endpoints
- ktrch25339@direct.midwestern.edu
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.
-
- Dentist
- Geneva, IL
- NPI 1225494107
-
- General Practice Dentistry
- Sycamore, IL
- NPI 1215157797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1356551469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ADAMS AVE",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601743070",
"telephone_number": "312-622-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 ABERDEEN CT",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783140",
"telephone_number": "815-758-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRCH",
"first_name": "KENNETH",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.026990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
- Thomas Wayne Tilton, DO
- Timothy Tronc Counseling & Consulting LLC (Associates In Counseling)
- Tina Starkweather DPM & Assocaites, PC
- Tina Starkweather DPM & Associates PC
- Marisa E Tolzin
- Timothy M Tronc, MSW, LCSW
- Kimberly Trotter, LPC
- Anthony Pete Tsiftilis, O.D.
- Cynthia Ann Tucker, PT
- Michael James Tunink, DPT, PT, OCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.