Active NPI
Jannette Trent, D.M.D
- General Practice Dentistry
- Anaheim, CA
National Provider Identifier
1497958623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50005
- Practice address
- 1751 W Romneya Dr
Suite - D
Anaheim, CA 92801-1815 - Phone
- (714) 772-3538
- Fax
- (714) 772-9624
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50005 | CA | Primary |
Addresses
Primary practice location
1751 W Romneya Dr
Suite - D
Anaheim, CA 92801-1815
Mailing address
1751 W Romneya Dr
Suite - D
Anaheim, CA 92801-1815
Phone (714) 772-3538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150521002489 | CA | Order and Referring Only - Oral Surgery | 8527388123 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1497958623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 W ROMNEYA DR",
"address_2": "SUITE - D",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011815",
"telephone_number": "714-772-3538",
"fax_number": "714-772-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 W ROMNEYA DR",
"address_2": "SUITE - D",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011815",
"telephone_number": "714-772-3538",
"fax_number": "714-772-9624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENT",
"first_name": "JANNETTE",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.