Organization Active NPI

JD Troy DDS PLLC

  • Dental Clinic/Center
  • Longview, WA
National Provider Identifier
1750825394
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00008468 Issued in WA
Legal business name
JD TROY DDS PLLC
Practice address
1118 Ocean Beach Hwy
Longview, WA 98632-4638
Phone
(360) 423-5240
Fax
(360) 501-5391
NPI assigned
Dec 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Authorized official

Name
Dr. JD Troy, DDS
Title
Member
Phone
(360) 423-5240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00008468 WA Primary

Addresses

Primary practice location

1118 Ocean Beach Hwy
Longview, WA 98632-4638

Mailing address

1118 Ocean Beach Hwy
Longview, WA 98632-4638
Phone (360) 423-5240

Other names 1

  • Troy Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1118 Ocean Beach Hwy
Longview, WA 98632
Phone (360) 423-5240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1750825394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 OCEAN BEACH HWY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324638",
            "telephone_number": "360-423-5240",
            "fax_number": "360-501-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 OCEAN BEACH HWY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324638",
            "telephone_number": "360-423-5240",
            "fax_number": "360-501-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD TROY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "TROY",
        "authorized_official_first_name": "JD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-423-5240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00008468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Troy Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.