Individual provider Active NPI

Zachary Ryan Trillet

  • Dentist
  • Noblesville, IN
National Provider Identifier
1689231060
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12013824A Issued in IN
Practice address
450 Lafayette Rd
Noblesville, IN 46060-1305
Phone
(317) 773-0883
NPI assigned
May 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.026096 OH
Dentist 122300000X 019.032276 IL
Dentist 122300000X 12013824A IN Primary

Addresses

Primary practice location

450 Lafayette Rd
Noblesville, IN 46060-1305

Mailing address

18311 Edinbrook LN
Westfield, IN 46074-6353
Phone (269) 365-4027

Other practice location 1

3447 W 117th St
Cleveland, OH 44111-3591
Phone (216) 251-1000

Other practice location 2

350 N Clark St Fl 6
Chicago, IL 60654-4712
Phone (312) 274-0308

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
019.032276ILMDDentist
12013824AINMDDentist
30.026096OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Warren Hylan, DDS, Inc. PastSince Aug 1, 2020 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": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1689231060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18311 EDINBROOK LN",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460746353",
            "telephone_number": "269-365-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LAFAYETTE RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601305",
            "telephone_number": "317-773-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3447 W 117th St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441113591",
            "country_code": "US",
            "telephone_number": "216-251-1000",
            "fax_number": "216-252-2448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 N Clark St Fl 6",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606544712",
            "country_code": "US",
            "telephone_number": "312-274-0308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRILLET",
        "first_name": "ZACHARY",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026096",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032276",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013824A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.