Individual provider Active NPI

David Troynacki Jr., D.M.D.

  • General Practice Dentistry
  • Hanover Township, PA
National Provider Identifier
1396972303
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS037899 Issued in PA
Practice address
1524 Sans Souci Pkwy
Hanover Township, PA 18706-6028
Phone
(570) 825-2247
Fax
(570) 825-4737
NPI assigned
Jun 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS037899 PA Primary

Addresses

Primary practice location

1524 Sans Souci Pkwy
Hanover Township, PA 18706-6028

Mailing address

1524 Sans Souci Pkwy
Hanover Township, PA 18706-6028
Phone (570) 825-2247

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

LicenseStateTypeSpecialty
DS037899PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Troynacki Dental Group LLC PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1396972303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 SANS SOUCI PKWY",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "187066028",
            "telephone_number": "570-825-2247",
            "fax_number": "570-825-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 SANS SOUCI PKWY",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "187066028",
            "telephone_number": "570-825-2247",
            "fax_number": "570-825-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROYNACKI",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.