Individual provider Active NPI

Donna Stevens Trimboli, DDS

  • General Practice Dentistry
  • Poughkeepsie, NY
National Provider Identifier
1508087644
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037675-1 Issued in NY
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

Updated by the provider on Jul 8, 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 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
037675-1NYMDGeneral Practice Dentistry
037675NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.