Individual provider Active NPI

Ronda Louise Trotman, DMD

  • General Practice Dentistry
  • Tigard, OR
National Provider Identifier
1821161241
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7197 Issued in OR
Practice address
7095 SW Gonzaga St
Tigard, OR 97223-8309
Phone
(503) 620-6715
Fax
(503) 620-4013
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D7197 OR Primary

Addresses

Primary practice location

7095 SW Gonzaga St
Tigard, OR 97223-8309

Mailing address

6950 NE Campus Way
Willamette Dental Group
Hillsboro, OR 97124
Phone (885) 433-6825

Other names 1

  • Dr. Ronda Trottman-Reese Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150622002741 OR Order and Referring Only - DentistPractitioner - Dentist 3779894472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1821161241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 NE CAMPUS WAY",
            "address_2": "WILLAMETTE DENTAL GROUP",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97124",
            "telephone_number": "885-433-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 SW GONZAGA ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238309",
            "telephone_number": "503-620-6715",
            "fax_number": "503-620-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTMAN",
        "first_name": "RONDA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONDA",
            "last_name": "TROTTMAN-REESE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.