Individual provider Active NPI

Troy J. Trobough, DDS

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1699799254
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2947 Issued in NV
Practice address
8440 W Lake Mead Blvd Ste 207
Las Vegas, NV 89128-7648
Phone
(702) 888-1266
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2947 NV Primary

Addresses

Primary practice location

8440 W Lake Mead Blvd Ste 207
Las Vegas, NV 89128-7648

Mailing address

8440 W Lake Mead Blvd Ste 207
Las Vegas, NV 89128-7648
Phone (702) 296-9119

Other practice location 1

9400 S Eastern Ave
Ste. 101
Las Vegas, NV 89123-7936
Phone (702) 456-0009

Other identifiers 1

IdentifierTypeStateIssuer
1699799254MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20150730013797 NV Order and Referring Only - DentistPractitioner - Dentist 1557675881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2947NVMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Dental Eastern, Inc General Practice Past Accepting new patients
Southern Nevada Specialty Prada, PLLC Past Accepting new patients
Trobough Dental, PLLC General Practice Past Accepting new patients

Organizations & group practices 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699799254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD STE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287648",
            "telephone_number": "702-296-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD STE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287648",
            "telephone_number": "702-888-1266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 S Eastern Ave",
            "address_2": "Ste. 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891237936",
            "country_code": "US",
            "telephone_number": "702-456-0009",
            "fax_number": "702-458-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROBOUGH",
        "first_name": "TROY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "2947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699799254",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.