Organization Active NPI

Trooper Dental Associates PC

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1831944164
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TROOPER DENTAL ASSOCIATES PC
Practice address
2412 Rhawn St
Philadelphia, PA 19152-3324
Phone
(215) 332-5259
NPI assigned
Apr 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Katia C Guerra, DMD
Title
Ceo/Dentist/Owner
Phone
(305) 283-3326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2412 Rhawn St
Philadelphia, PA 19152-3324

Mailing address

182 Valley Stream Cir
Chesterbrook, PA 19087-5818
Phone (305) 283-3326

National Provider Directory

National Provider Directory

Locations

2412 Rhawn St
Philadelphia, PA 19152
Phone (215) 332-5259

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1831944164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 VALLEY STREAM CIR",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190875818",
            "telephone_number": "305-283-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 RHAWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523324",
            "telephone_number": "215-332-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROOPER DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "KATIA  C",
        "authorized_official_title_or_position": "CEO/DENTIST/OWNER",
        "authorized_official_telephone_number": "305-283-3326",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.