Kristi L. Troudt, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6135 Issued in WI

Practice address

1201 Oak Street
Oakbrook Dental Group SC
West Bend, WI 53095

Phone

(262) 335-0822

Fax

(262) 335-0814

NPI assigned

Jun 26, 2007

Sex

Female

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 WI

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

Practice roles

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.

• West Bend Dental Center SC

  • General Practice Dentistry
  • West Bend, WI
  • NPI 1427201599
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1508062571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SOUTH MAIN ST.",
            "address_2": "WEST BEND DENTAL CENTER SC",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954934",
            "telephone_number": "262-338-0022",
            "fax_number": "262-338-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 OAK STREET",
            "address_2": "OAKBROOK DENTAL GROUP SC",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "53095",
            "telephone_number": "262-335-0822",
            "fax_number": "262-335-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUDT",
        "first_name": "KRISTI",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33814100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Trampe
• Rachael Trawicki, MS/CCC-SLP
• Jennifer Stone Trenga, D.O.
• Madhuri H. Trivedi, M.D.
• Rajesh M Trivedi, MD
• True North Counseling Services LLC
• Julia Truog
• Karen Tucker, PH.D
• Javed H Tunio, MD
• Sara Marie Turdo, OTR

• Dentist in West Bend, WI
• Providers in West Bend, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.