Misty Haunani Trybom, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8617 Issued in OR

Practice address

2300 Lancaster Dr NE
Salem, OR 97305-1223

Phone

(503) 370-4313

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1427061415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11907 SW LAUSANNE ST",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707328",
            "telephone_number": "503-482-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051223",
            "telephone_number": "503-370-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYBOM",
        "first_name": "MISTY",
        "middle_name": "HAUNANI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Eugene Trujillo
• Henry H Truong, M.D.
• Tai Doan Truong, D.M.D
• Timothy Lincoln Truschel, M.D.
• Lauren Truxillo
• Rachel Louise Trytko, QMHP
• TS Counseling & Consultation, Inc.
• TS Counseling & Consultation, LLC
• Howard W Tsang, M.D., M.P.H.
• Ashley Tschetter

• General Practice Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.