Active NPI
Donna Stevens Trimboli, DDS
- General Practice Dentistry
- Poughkeepsie, NY
National Provider Identifier
1508087644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 037675-1
- Practice address
- 22 Ibm Rd
Suite 203B
Poughkeepsie, NY 12601-5455 - Phone
- (845) 462-1542
- Fax
- (845) 462-1602
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 037675-1 | NY | Primary |
Addresses
Primary practice location
22 Ibm Rd
Suite 203B
Poughkeepsie, NY 12601-5455
Mailing address
22 Ibm Rd
Suite 203B
Poughkeepsie, NY 12601-5455
Phone (845) 462-1542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 14, 2016 through Jun 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037675-1 | NY | MD | General Practice Dentistry |
| 037675 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentle Dentistry of Lancaster, PLLC | General Practice | 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.
-
- General Practice Dentistry
- Poughkeepsie, NY
- NPI 1902341373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508087644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 IBM RD",
"address_2": "SUITE 203B",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126015455",
"telephone_number": "845-462-1542",
"fax_number": "845-462-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 IBM RD",
"address_2": "SUITE 203B",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126015455",
"telephone_number": "845-462-1542",
"fax_number": "845-462-1602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS TRIMBOLI",
"first_name": "DONNA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "037675-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.