Individual provider Active NPI

Mark P Troilo, DDS

  • Dentist
  • Rose Hill, KS
National Provider Identifier
1700996147
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5474 Issued in KS
Practice address
106 E Yeager
Rose Hill, KS 67133
Phone
(316) 776-2144
Fax
(316) 776-2980
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5474 KS Primary

Addresses

Primary practice location

106 E Yeager
Rose Hill, KS 67133

Mailing address

PO Box 98
Rose Hill, KS 67133
Phone (316) 776-2144

Other identifiers 2

IdentifierTypeStateIssuer
100097590BOtherKSHEALTHWAVE
17359OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20150304000119 KS Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5294051579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Hill General and Cosmetic Dentistry 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700996147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "ROSE HILL",
            "state": "KS",
            "postal_code": "67133",
            "telephone_number": "316-776-2144",
            "fax_number": "316-776-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E YEAGER",
            "city": "ROSE HILL",
            "state": "KS",
            "postal_code": "67133",
            "telephone_number": "316-776-2144",
            "fax_number": "316-776-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROILO",
        "first_name": "MARK",
        "middle_name": "P",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "5474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHWAVE",
            "identifier": "100097590B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17359",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rose Hill, KS

Sources for this page

Verify at the official NPI Registry.