John Matthew Tripp, EPDH, LD

Primary specialty

DenturistTaxonomy code 122400000X

License

DT-DO-10189132 Issued in OR

Practice address

212 NE Savage St Ste B
Grants Pass, OR 97526-1361

Phone

(541) 476-8338

NPI assigned

Feb 24, 2011

Last updated

Dec 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Accessible Mobile Dental Hygiene LLC

  • Dental Clinic/Center
  • Grants Pass, OR
  • NPI 1073872941
  Authorized official Same address or phone
• Accessible Mobile Dental Hygiene LLC

  • Dental Clinic/Center
  • Grants Pass, OR
  • NPI 1154606853
  NPD (past) Authorized official

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1407153612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 AVERILL DR",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975264114",
            "telephone_number": "541-295-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 NE SAVAGE ST STE B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261361",
            "telephone_number": "541-476-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "JOHN",
        "middle_name": "MATTHEW",
        "credential": "EPDH, LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-24",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H5633",
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Denturist",
            "state": "OR",
            "license": "DT-DO-10189132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Home Care LLC
• Trinity Home Care LLC.
• Trinity Valley Pharmacy LLC (Trinity Valley Pharmacy LLC Retail)
• Trinity Valley Pharmacy, LLC
• Amy Tripp
• Amaka Troxell, MA
• Shirley F Tschetter
• TSL Oak Lane, LLC (Oak Lane Retirement)
• Heidi Tucker
• Michael Tucker

• Denturist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Denturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.