Active NPI
Paul Lewis Trombly, D.M.D.
- General Practice Dentistry
- Portsmouth, RI
National Provider Identifier
1821115643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN02647
- Practice address
- 225 Fairview LN
Portsmouth, RI 02871-3826 - Phone
- (401) 862-2713
- NPI assigned
- Mar 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN02647 | RI | Primary |
Addresses
Primary practice location
225 Fairview LN
Portsmouth, RI 02871-3826
Mailing address
225 Fairview LN
Portsmouth, RI 02871-3826
Phone (401) 862-2713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200618002874 | MA | Practitioner - Dentist | 9234551375 | Practice locations: Revere, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN02647 | RI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821115643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 FAIRVIEW LN",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028713826",
"telephone_number": "401-862-2713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 FAIRVIEW LN",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028713826",
"telephone_number": "401-862-2713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMBLY",
"first_name": "PAUL",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "RI",
"license": "DEN02647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.