Individual provider Active NPI

Troy Raymond Pearce, DMD

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1447384151
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
022732 Issued in OH
Practice address
425 Walnut St Ste 201
Cincinnati, OH 45202-3939
Phone
(513) 651-0110
Fax
(513) 651-9036
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 022732 OH Primary
General Practice Dentistry 1223G0001X 8356 KY

Addresses

Primary practice location

425 Walnut St Ste 201
Cincinnati, OH 45202-3939

Mailing address

425 Walnut St Ste 201
Cincinnati, OH 45202-3939
Phone (513) 651-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130731000599 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6103067319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8356KYMDGeneral Practice Dentistry
022732OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pearce Dental Management Current Accepting new patients
Pearce Dental Group, LLC CurrentSince Jun 6, 2021 Accepting new patients
David a Beck DDS & Troy R Pearce DMD, Inc. General Practice Past Accepting new patients

Locations

425 Walnut St
Ste 201
Cincinnati, OH 45202
Phone (513) 651-0110

Organizations & group practices 3

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1447384151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WALNUT ST STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452023939",
            "telephone_number": "513-651-0110",
            "fax_number": "513-651-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WALNUT ST STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452023939",
            "telephone_number": "513-651-0110",
            "fax_number": "513-651-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "TROY",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "022732",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.