Individual provider Active NPI

Stephen Michael Tropp, D.D.S.

  • General Practice Dentistry
  • Longmont, CO
National Provider Identifier
1649522194
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
202196 Issued in CO
Practice address
641 Ken Pratt Blvd
Longmont, CO 80501-6419
Phone
(303) 651-2700
NPI assigned
Oct 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9256 KY
General Practice Dentistry 1223G0001X 30-023820 OH
General Practice Dentistry 1223G0001X 202196 CO Primary

Addresses

Primary practice location

641 Ken Pratt Blvd
Longmont, CO 80501-6419

Mailing address

641 Ken Pratt Blvd
Longmont, CO 80501-6419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20161121000078 NM Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2466731195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
202196COMDGeneral Practice Dentistry
9256KYMDGeneral Practice Dentistry
30-023820OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Teeth - Longmont P.C. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1649522194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 KEN PRATT BLVD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 KEN PRATT BLVD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016419",
            "telephone_number": "303-651-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROPP",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-09",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9256",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023820",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "202196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.