Tom J Troilo, DDS

Key facts

NPI

1902817166

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

6395 (KS)

Practice address

201 W Main St
Valley Center, KS 67147-2217

Phone

(316) 755-1203

Fax

(316) 755-1207

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Doc Herrman Dentistry & Implants PA Dental Clinic/Center · Valley Center, KS · NPI 1669192621
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902817166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "city": "VALLEY CENTER",
            "state": "KS",
            "postal_code": "671472217",
            "telephone_number": "316-755-1203",
            "fax_number": "316-755-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "city": "VALLEY CENTER",
            "state": "KS",
            "postal_code": "671472217",
            "telephone_number": "316-755-1203",
            "fax_number": "316-755-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROILO",
        "first_name": "TOM",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22827",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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