Individual provider Active NPI

Troy J Tregre, D.D.S.

  • General Practice Dentistry
  • Deer Park, TX
National Provider Identifier
1548459613
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16022 Issued in TX
Practice address
4518 Center Street
Deer Park, TX 77536
Phone
(281) 479-2841
Fax
(281) 479-6238
NPI assigned
Oct 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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 16022 TX Primary

Addresses

Primary practice location

4518 Center Street
Deer Park, TX 77536

Mailing address

4518 Center Street
Deer Park, TX 77536
Phone (281) 479-2841

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 Mar 29, 2016 through Mar 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16022TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Park Family Dentistry General Practice Past Accepting new patients
Tregre & Associates DDS Past Accepting new patients

Organizations & group practices 2

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1548459613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 CENTER STREET",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "77536",
            "telephone_number": "281-479-2841",
            "fax_number": "281-479-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 CENTER STREET",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "77536",
            "telephone_number": "281-479-2841",
            "fax_number": "281-479-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREGRE",
        "first_name": "TROY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, TX

Sources for this page

Verify at the official NPI Registry.