Organization Active NPI

Troy Van Der Groen DMD Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Walnut Creek, CA
National Provider Identifier
1760312417
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
TROY VAN DER GROEN DMD INC
Practice address
1150 Civic Dr Ste 101
Walnut Creek, CA 94596-3760
Phone
(925) 940-2530
NPI assigned
May 22, 2026
Last updated
May 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Troy Van Der Groen, DMDNPI 1700352903
Title
President
Phone
(925) 348-3118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

1150 Civic Dr Ste 101
Walnut Creek, CA 94596-3760

Mailing address

537 34TH Ave
San Francisco, CA 94121-2705

National Provider Directory

National Provider Directory

Locations

1150 Civic Dr
Ste 101
Walnut Creek, CA 94596
Phone (925) 934-7888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1760312417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 34TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CIVIC DR STE 101",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963760",
            "telephone_number": "925-940-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY VAN DER GROEN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "VAN DER GROEN",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-348-3118",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.