Individual provider Active NPI

Deedra A Truschinger, DDS

  • General Practice Dentistry
  • Auburn, KS
National Provider Identifier
1861774374
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60802 Issued in KS
Practice address
930 N Washington
Auburn, KS 66402
Phone
(785) 256-2489
NPI assigned
Sep 12, 2011
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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 60802 KS Primary

Addresses

Primary practice location

930 N Washington
Auburn, KS 66402

Mailing address

930 N Washington
Auburn, KS 66402
Phone (785) 256-2489

Other names 1

  • Dr. Deedra A Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20160331002054 KS Order and Referring Only - DentistPractitioner - Dentist 2668779950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60802KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Dental Clinic, P. a. General Practice Current Accepting new patients
Colleen Nguyen, D.D.S., P.a. Past Accepting new patients

Organizations & group practices 2

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": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1861774374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N WASHINGTON",
            "city": "AUBURN",
            "state": "KS",
            "postal_code": "66402",
            "telephone_number": "785-256-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N WASHINGTON",
            "city": "AUBURN",
            "state": "KS",
            "postal_code": "66402",
            "telephone_number": "785-256-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUSCHINGER",
        "first_name": "DEEDRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEDRA",
            "last_name": "CLARK",
            "middle_name": "A",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, KS

Sources for this page

Verify at the official NPI Registry.