Trenton K Lebaron, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9266 Issued in OR

Practice address

3975 River Rd N Ste 5
Keizer, OR 97303-4811

Phone

(503) 393-9106

Fax

(503) 393-3053

NPI assigned

Nov 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lebaron Dentistry, LLC

  • General Practice Dentistry
  • Keizer, OR
  • NPI 1790192342
  NPD (past) Authorized official

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1770737702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 RIVER N RD 5",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034811",
            "telephone_number": "503-393-9106",
            "fax_number": "503-393-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 RIVER RD N STE 5",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034811",
            "telephone_number": "503-393-9106",
            "fax_number": "503-393-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBARON",
        "first_name": "TRENTON",
        "middle_name": "K",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren E Larsen, RN-PMHNP-BC
• David P Laufer, PT
• Sydne Kay Lawrence, SLPA
• Adam Lawson, CADC
• Lebaron Dentistry, LLC
• Cody Allen Leder, DC
• Andrew Y Lee
• Jennifer Louise Lee, NP
• Kyubin Lee
• Carolyn Anne Leggett, RN

• General Practice Dentistry in Keizer, OR
• Providers in Keizer, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.