Active NPI
Trina Floyd
- General Practice Dentistry
- Burton, MI
National Provider Identifier
1639225923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901012801
- Practice address
- 4085 S. Center Rd.
Suite #2
Burton, MI 48519 - Phone
- (810) 742-4320
- Fax
- (810) 742-8482
- NPI assigned
- Jan 27, 2007
- Last updated
- Apr 13, 2016
- Sex
- Female
- 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 | 2901012801 | MI | Primary |
Addresses
Primary practice location
4085 S. Center Rd.
Suite #2
Burton, MI 48519
Mailing address
4085 S. Center Rd.
Suite #2
Burton, MI 48519
Phone (810) 742-4320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161025000924 | MI | Order and Referring Only - Other (Non-Physician) | 9537447651 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesee Family Care PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Burton, MI
- NPI 1033206255
-
- Family Medicine Physician
- Burton, MI
- NPI 1538222823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1639225923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4085 S. CENTER RD.",
"address_2": "SUITE #2",
"city": "BURTON",
"state": "MI",
"postal_code": "48519",
"telephone_number": "810-742-4320",
"fax_number": "810-742-8482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4085 S. CENTER RD.",
"address_2": "SUITE #2",
"city": "BURTON",
"state": "MI",
"postal_code": "48519",
"telephone_number": "810-742-4320",
"fax_number": "810-742-8482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "TRINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-27",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901012801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.