Active NPI
Dennis J Triolo, AUD
- Audiologist
- Tamuning, GU
National Provider Identifier
1871667030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- SLA000003
- Practice address
- 545 Chalan San Antonio
Suite 305
Tamuning, GU 96913 - Phone
- (671) 649-2902
- Fax
- (671) 649-2905
- NPI assigned
- Nov 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | SLA000003 | GU | Primary |
Addresses
Primary practice location
545 Chalan San Antonio
Suite 305
Tamuning, GU 96913
Mailing address
PO Box 11529
Tamuning, GU 96931
Phone (671) 649-2902
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLA000003 | GU | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871667030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11529",
"city": "TAMUNING",
"state": "GU",
"postal_code": "96931",
"telephone_number": "671-649-2902",
"fax_number": "671-649-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 CHALAN SAN ANTONIO",
"address_2": "SUITE 305",
"city": "TAMUNING",
"state": "GU",
"postal_code": "96913",
"telephone_number": "671-649-2902",
"fax_number": "671-649-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIOLO",
"first_name": "DENNIS",
"middle_name": "J",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GU",
"license": "SLA000003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.