Sujay Trivedi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24155 Issued in FL

Practice address

10156 Indiantown Rd
Jupiter, FL 33478-4707

Phone

(561) 743-6700

NPI assigned

Jun 4, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Sujay Trivedi DMD PA

  • General Practice Dentistry
  • West Palm Beach, FL
  • NPI 1407443229
  NPD Authorized official
• Fredrick Dental, PA

  • General Practice Dentistry
  • Jupiter, FL
  • NPI 1801014410
  NPD (past)
• Janely Pinero Fredrick

  • Dentist
  • Jupiter, FL
  • NPI 1366994592
  NPD (past)
• Tin Wai Hui, D.M.D., P.a.

  • General Practice Dentistry
  • Miami, FL
  • NPI 1467775577
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1356909352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 PALM TRACE LANDINGS DR APT 306",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333141818",
            "telephone_number": "860-805-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10156 INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334784707",
            "telephone_number": "561-743-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16209 NE 13th Ave",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331624607",
            "country_code": "US",
            "telephone_number": "305-940-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "SUJAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF DENTISTRY",
            "identifier": "DN24155",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Jupiter, FL
• Providers in Jupiter, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.