Individual provider Active NPI

Michael N Trahos, D.D.S.

  • General Practice Dentistry
  • Milford, VA
National Provider Identifier
1841326527
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401003905 Issued in VA
Practice address
18204 Sparta Rd
Milford, VA 22514-2208
Phone
(804) 633-2171
NPI assigned
Feb 26, 2007
Last updated
Jan 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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 0401003905 VA Primary

Addresses

Primary practice location

18204 Sparta Rd
Milford, VA 22514-2208

Mailing address

18204 Sparta Rd
Pob 520
Milford, VA 22514-2208
Phone (804) 633-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401003905VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael N Trahos DDS LTD Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1841326527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18204 SPARTA RD",
            "address_2": "POB 520",
            "city": "MILFORD",
            "state": "VA",
            "postal_code": "225142208",
            "telephone_number": "804-633-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18204 SPARTA RD",
            "city": "MILFORD",
            "state": "VA",
            "postal_code": "225142208",
            "telephone_number": "804-633-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAHOS",
        "first_name": "MICHAEL",
        "middle_name": "N",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401003905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.