Nicholas Tretter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17827 Issued in MA

Practice address

694 Main St
Holden, MA 01520-1862

Phone

(508) 829-6665

Fax

(508) 829-9628

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487746194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 MAIN ST",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201862",
            "telephone_number": "508-829-6665",
            "fax_number": "508-829-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 MAIN ST",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201862",
            "telephone_number": "508-829-6665",
            "fax_number": "508-829-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRETTER",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X07231",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela Margret Thompson
• Marisa C Titone
• Lamoy Toban, NP
• Town of Holden
• Estela Trebicka, FNP-C
• Eric David Trotman
• Umass Memorial Medical Center, Inc
• Umass Memorial Medical Center, Inc
• Umass Memorial Medical Group, Inc.
• Ummhc Memorial Health Care

• General Practice Dentistry in Holden, MA
• Providers in Holden, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.