Active NPI
Bruce R Tripp Jr DDS PA
- Dentist
- Greenville, NC
National Provider Identifier
1699047167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5112
- Legal business name
- BRUCE R TRIPP JR DDS PA
- Practice address
- 5076 US 264 E
Greenville, NC 27834-5804 - Phone
- (252) 752-7880
- Fax
- (252) 752-9602
- NPI assigned
- Jan 31, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce Ray Tripp Jr., DDS
- Title
- Owner
- Phone
- (252) 752-7880
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5112 | NC | Primary |
| Dental Hygienist | 124Q00000X | NC |
Addresses
Primary practice location
5076 US 264 E
Greenville, NC 27834-5804
Mailing address
5076 US 264 E
Greenville, NC 27834-5804
Phone (252) 752-7880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5919749 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Cary, NC
- NPI 1023854973
-
- General Practice Dentistry
- Greenville, NC
- NPI 1366000739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376006400000",
"number": "1699047167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5076 US 264 E",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345804",
"telephone_number": "252-752-7880",
"fax_number": "252-752-9602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5076 US 264 E",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345804",
"telephone_number": "252-752-7880",
"fax_number": "252-752-9602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE R TRIPP JR DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-31",
"last_updated": "2013-08-09",
"status": "A",
"authorized_official_last_name": "TRIPP",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-752-7880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "5112",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5919749",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.