Individual provider Active NPI

David R. Treter, DDS

  • General Practice Dentistry
  • Rochester, PA
National Provider Identifier
1629050505
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS019950L Issued in PA
Practice address
205 Brighton Ave
Rochester, PA 15074-2161
Phone
(724) 775-3525
NPI assigned
Nov 16, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 DS019950L PA Primary

Addresses

Primary practice location

205 Brighton Ave
Rochester, PA 15074-2161

Mailing address

205 Brighton Ave
Rochester, PA 15074-2161
Phone (724) 775-3525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160211001524 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3678877644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS019950LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629050505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BRIGHTON AVE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150742161",
            "telephone_number": "724-775-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BRIGHTON AVE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150742161",
            "telephone_number": "724-775-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRETER",
        "first_name": "DAVID",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS019950L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, PA

Sources for this page

Verify at the official NPI Registry.