Active NPI
Kristine Marie Trontz, D.D.S.
- Pediatric Dentistry
- Derry, NH
National Provider Identifier
1538523808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 04388
- Practice address
- 4 Manchester Ave
Derry, NH 03038-1931 - Phone
- (603) 434-1586
- NPI assigned
- Apr 12, 2016
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 04388 | NH | Primary |
Addresses
Primary practice location
4 Manchester Ave
Derry, NH 03038-1931
Mailing address
48 Cherrywood Dr
Nashua, NH 03062-3080
Phone (603) 320-1708
Other practice location 1
3333 Burnet Avenue
ML 2006
Cincinnati, OH 45229-3026
Phone (513) 636-4641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04388 | NH | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James B. Haas, DDS PA | Pediatric Dentistry | 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.
-
- Pediatric Dentistry
- Derry, NH
- NPI 1295165090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1538523808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 CHERRYWOOD DR",
"city": "NASHUA",
"state": "NH",
"postal_code": "030623080",
"telephone_number": "603-320-1708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MANCHESTER AVE",
"city": "DERRY",
"state": "NH",
"postal_code": "030381931",
"telephone_number": "603-434-1586"
}
],
"practiceLocations": [
{
"address_1": "3333 Burnet Avenue",
"address_2": "ML 2006",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452293026",
"country_code": "US",
"telephone_number": "513-636-4641",
"fax_number": "513-636-8283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRONTZ",
"first_name": "KRISTINE",
"middle_name": "MARIE",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-12",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NH",
"license": "04388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.