Robert Lawrence Trujillo, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

358 Issued in OK

Practice address

22603 NE Inglewood Hill Rd # 200
Sammamish, WA 98074-7105

Phone

(425) 868-6880

NPI assigned

Jul 5, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1548525660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22603 NE INGLEWOOD HILL RD # 200",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747105",
            "telephone_number": "425-868-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22603 NE INGLEWOOD HILL RD # 200",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747105",
            "telephone_number": "425-868-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N Stonewall Ave Rm 293",
            "address_2": "Grad Ortho",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731171214",
            "country_code": "US",
            "telephone_number": "405-271-4148 x33267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "ROBERT",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhan Duc Tran, PHARM-D
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• Tessa Lee Trosvig, MA, LMHCA
• Emily Carson Truong, DVM
• Shirley Truong
• Tiffany L Tsai, PHARMD
• Carl Daniel Tunehag
• Yenfang Amy Tung

• Orthodontics and Dentofacial Orthopedics Dentistry in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.