Individual provider Active NPI

Dennis Sam Trinh, DDS

  • Dentist
  • Fairfield, OH
National Provider Identifier
1477128049
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.026511 Issued in OH
Practice address
2760 Mack Rd
Fairfield, OH 45014-5129
Phone
(513) 874-2444
NPI assigned
May 25, 2021
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.026511 OH Primary

Addresses

Primary practice location

2760 Mack Rd
Fairfield, OH 45014-5129

Mailing address

2760 Mack Rd
Fairfield, OH 45014-5129
Phone (513) 874-2444

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
I20230117000758 OH Order and Referring Only - DentistPractitioner - Dentist 1850762550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle One Dental Group CurrentSince Feb 13, 2022 Accepting new patients

Locations

2760 Mack Rd
Fairfield, OH 45014
Phone (513) 874-2444

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

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1477128049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145129",
            "telephone_number": "513-874-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145129",
            "telephone_number": "513-874-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "DENNIS",
        "middle_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.