Active NPI
Jeffrey Edward Tritle, DMD
- General Practice Dentistry
- West Chester, OH
National Provider Identifier
1588064075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.024259
- Practice address
- 4845 Rialto Rd Ste a
West Chester, OH 45069-2910 - Phone
- (513) 772-6500
- NPI assigned
- Sep 3, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.024259 | OH | Primary |
Addresses
Primary practice location
4845 Rialto Rd Ste a
West Chester, OH 45069-2910
Mailing address
4845 Rialto Road Suite a
West Chester, OH 45069
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 |
|---|---|---|---|
| 30.024259 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503532800000",
"number": "1588064075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4845 RIALTO ROAD SUITE A",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "45069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4845 RIALTO RD STE A",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450692910",
"telephone_number": "513-772-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRITLE",
"first_name": "JEFFREY",
"middle_name": "EDWARD",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-03",
"last_updated": "2017-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.024259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.