Active NPI
Lisa D Trepp, DMD
- Periodontics
- Stamford, CT
National Provider Identifier
1568655074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 6484
- Practice address
- 90 Morgan Street
Suite 305
Stamford, CT 06905 - Phone
- (203) 357-0600
- NPI assigned
- Aug 20, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 6484 | CT | Primary |
Addresses
Primary practice location
90 Morgan Street
Suite 305
Stamford, CT 06905
Mailing address
90 Morgan Street
Suite 305
Stamford, CT 06905
Phone (203) 357-0600
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6484 | CT | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1568655074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 MORGAN STREET",
"address_2": "SUITE 305",
"city": "STAMFORD",
"state": "CT",
"postal_code": "06905",
"telephone_number": "203-357-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 MORGAN STREET",
"address_2": "SUITE 305",
"city": "STAMFORD",
"state": "CT",
"postal_code": "06905",
"telephone_number": "203-357-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREPP",
"first_name": "LISA",
"middle_name": "D",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CT",
"license": "6484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.