Active NPI
Bruce Llyod Trott, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Baldwin Place, NY
National Provider Identifier
1659459279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 22986
- Practice address
- 17 Miller Rd
Baldwin Place, NY 10505 - Phone
- (845) 628-5518
- Fax
- (845) 628-5519
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 22986 | NY | Primary |
Addresses
Primary practice location
17 Miller Rd
Baldwin Place, NY 10505
Mailing address
PO Box 295
Baldwin Place, NY 10505-0295
Phone (845) 628-5518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00509664 | Medicaid | NY |
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 |
|---|---|---|---|
| 22986 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659459279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 295",
"city": "BALDWIN PLACE",
"state": "NY",
"postal_code": "105050295",
"telephone_number": "845-628-5518",
"fax_number": "845-628-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 MILLER RD",
"city": "BALDWIN PLACE",
"state": "NY",
"postal_code": "10505",
"telephone_number": "845-628-5518",
"fax_number": "845-628-5519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROTT",
"first_name": "BRUCE",
"middle_name": "LLYOD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "22986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00509664",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baldwin Place, NY
- Raymond Opticians of Yonkers
- Lillian Andrea Rossetti, M.S CCC-SLP
- Rachel Madeleine Silva, BEHAVIOR SPECIALIST
- The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy)
- Claudia B Toledo, RN
- UC of Somers, LLC
- Urgent Care Medical of New York, LLC
- Gianna J Volpe, DPT
- Kathleen M Vorperian, MS, CCC-SLP
- Gloria Williams, 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.