Organization Active NPI

S. Jason Troutman D.D.S., PLLC

  • Dentist
  • Mebane, NC
National Provider Identifier
1861586919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8187 Issued in NC
Legal business name
S. JASON TROUTMAN D.D.S., PLLC
Practice address
200 Mebane Oaks Rd
Mebane, NC 27302-9643
Phone
(919) 563-5939
Fax
(919) 563-6676
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. S Jason Troutman, D.D.S.NPI 1861562894
Title
Dentist/Owner
Phone
(919) 563-5939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8187 NC Primary

Addresses

Primary practice location

200 Mebane Oaks Rd
Mebane, NC 27302-9643

Mailing address

200 Mebane Oaks Rd
Mebane, NC 27302-9643
Phone (919) 563-5939

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861586919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEBANE OAKS RD",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029643",
            "telephone_number": "919-563-5939",
            "fax_number": "919-563-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEBANE OAKS RD",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029643",
            "telephone_number": "919-563-5939",
            "fax_number": "919-563-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. JASON TROUTMAN D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TROUTMAN",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "919-563-5939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.