Individual provider Active NPI

Troy Scott Follmar, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Gatos, CA
National Provider Identifier
1366675951
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
58765 Issued in CA
Practice address
14511 S Bascom Ave
Los Gatos, CA 95032-2003
Phone
(408) 356-3146
Fax
(408) 356-0267
NPI assigned
Aug 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 58765 CA Primary

Addresses

Primary practice location

14511 S Bascom Ave
Los Gatos, CA 95032-2003

Mailing address

14511 S Bascom Ave
Los Gatos, CA 95032-2003
Phone (408) 356-3146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160526001054 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5597055939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58765CAMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1366675951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14511 S BASCOM AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322003",
            "telephone_number": "408-356-3146",
            "fax_number": "408-356-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14511 S BASCOM AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322003",
            "telephone_number": "408-356-3146",
            "fax_number": "408-356-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLLMAR",
        "first_name": "TROY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "58765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.