Trisha Megan Pichoch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6001103-15 Issued in WI

Practice address

2640 W College Ave Unit 508
Appleton, WI 54914-4201

Phone

(780) 603-0560

NPI assigned

Dec 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1912617606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 W COLLEGE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144201",
            "telephone_number": "209-442-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W COLLEGE AVE UNIT 508",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144201",
            "telephone_number": "780-603-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHOCH",
        "first_name": "TRISHA",
        "middle_name": "MEGAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001103-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Rachel Philip, M.D.
• Judith L Phillips, RN
• Samantha Philo, SACIT
• Rebecca J Philpot, APNP
• Trisha Ann Picard, LCSW
• Benjamin J Pickart, HIS
• Sharon R Pieper, COTA
• Landra Jo Pierce, D.C.
• Kinsey Beth Pierre, MSW, LCSW
• Laura M Pierre, CPNP

• General Practice Dentistry in Appleton, WI
• Providers in Appleton, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.