Juan Troconis, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

34663 Issued in TX

Practice address

3200 Red River St Ste 400
Austin, TX 78705-2661

Phone

(512) 320-1640

Fax

(512) 320-1643

NPI assigned

Nov 21, 2014

Last updated

Mar 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Metrohealth System

  dba Metrohealth Professional Group

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896
  Medicare reassignment NPD
• The Metrohealth System

  dba MetroHealth Brooklyn Memphis Pharmacy

  • Pharmacy
  • Cleveland, OH
  • NPI 1992529911
  NPD
• Central Texas Oral Surgery Assc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Austin, TX
  • NPI 1114018124
  NPD (past)

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1780081596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 RED RIVER ST STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052661",
            "telephone_number": "512-320-1640",
            "fax_number": "512-320-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 RED RIVER ST STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052661",
            "telephone_number": "512-320-1640",
            "fax_number": "512-320-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROCONIS",
        "first_name": "JUAN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-21",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "71.000242",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "34663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triumph Family Behavioral Health LLC
• Ameet Yogesh Trivedi, DDS
• Hirsh Divyang Trivedi, M.D.
• Neha Trivedi
• Kristen Trocin, PSYD
• Pamela Troester, LCDC
• Katherine Olivia Trone
• Michael David Trotter, M.D.
• Suzanne Fox Trotter, PT
• Madison Breann Trousdale, M.S., CF-SLP

• Oral and Maxillofacial Surgery (Dentist) in Austin, TX
• Providers in Austin, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.