Individual provider Active NPI

Troy Allen Schrupp, DDS

  • General Practice Dentistry
  • Gilford, NH
National Provider Identifier
1477559284
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2657 Issued in NH
Practice address
60 Belknap Mountain Rd
Gilford, NH 03249-6809
Phone
(603) 528-0400
Fax
(603) 528-0015
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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 2657 NH Primary

Addresses

Primary practice location

60 Belknap Mountain Rd
Gilford, NH 03249-6809

Mailing address

60 Belknap Mountain Rd
Gilford, NH 03249-6809
Phone (603) 528-0400

Other identifiers 1

IdentifierTypeStateIssuer
30313707MedicaidNH

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

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Schrupp, D.D.S., P.L.L.C. Past 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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1477559284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BELKNAP MOUNTAIN RD",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496809",
            "telephone_number": "603-528-0400",
            "fax_number": "603-528-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BELKNAP MOUNTAIN RD",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496809",
            "telephone_number": "603-528-0400",
            "fax_number": "603-528-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRUPP",
        "first_name": "TROY",
        "middle_name": "ALLEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "2657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30313707",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.