Individual provider Active NPI

Richard B Troll, D.M.D.

  • Pediatric Dentistry
  • Newtown, PA
National Provider Identifier
1588711535
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS018750L Issued in PA
Practice address
638 Newtown Yardley Rd
#1 A
Newtown, PA 18940-1758
Phone
(215) 968-4545
Fax
(215) 968-3252
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS018750L PA Primary

Addresses

Primary practice location

638 Newtown Yardley Rd
#1 A
Newtown, PA 18940-1758

Mailing address

638 Newtown Yardley Rd
#1 A
Newtown, PA 18940-1758
Phone (215) 968-4545

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

LicenseStateTypeSpecialty
DS018750LPAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588711535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 NEWTOWN YARDLEY RD",
            "address_2": "#1 A",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401758",
            "telephone_number": "215-968-4545",
            "fax_number": "215-968-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 NEWTOWN YARDLEY RD",
            "address_2": "#1 A",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401758",
            "telephone_number": "215-968-4545",
            "fax_number": "215-968-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROLL",
        "first_name": "RICHARD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS018750L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.