David R Trost DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.016607 Issued in IL

Legal business name

DAVID R TROST DDS PC

Practice address

2604 Lincoln TRL
Taylorville, IL 62568-9718

Phone

(039) 382-6404

Fax

(309) 382-6405

NPI assigned

Aug 30, 2013

Organization subpart

Yes

Parent organization

DAVID R TROST DDS PC D/B/A MILES OF SMILES, LTDAs reported in NPPES

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

Authorized official

Name

Dr. David R Trost, DDS

Title

President

Phone

(309) 382-6404

Specialties & licenses 1

Addresses

Other names 1

• MILES OF SMILES, LTD Doing business as

Tax ID family

David R Trost DDS PC2 organizations share this tax ID, including this one

Part of

David R Trost DDS PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• David R Trost DDS PC

  • General Practice Dentistry
  • North Pekin, IL
  • NPI 1750553327
  NPD tax ID

Locations

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1710311386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 RADIO CITY DR",
            "address_2": "STE C",
            "city": "NORTH PEKIN",
            "state": "IL",
            "postal_code": "615541570",
            "telephone_number": "309-382-6404",
            "fax_number": "309-382-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 LINCOLN TRL",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625689718",
            "telephone_number": "039-382-6404",
            "fax_number": "309-382-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R TROST DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID R TROST DDS PC D/B/A MILES OF SMILES, LTD",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "TROST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-382-6404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.016607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILES OF SMILES, LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Christian
• Covenant Care Meadow Manor, LLC
• Maxx M Craggs, OD
• Lisa Marie Cunningham
• Daniel Kevin Curl, PHARMD
• Cassandra Marie Davis, M.S. CCC-SLP
• Laura Davis
• Jennifer Marie Deluka, M.D.
• Richard K Delvalle, M.D.
• Casey At Dively, NP-C

• General Practice Dentistry in Taylorville, IL
• Providers in Taylorville, IL by specialty
• General Practice Dentistry in Illinois

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

Verify at the official NPI Registry.