Dan Trittin, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

3199-015 Issued in WI

Practice address

107A W Main St
Waterford, WI 53185-4129

Phone

(262) 534-5303

Fax

(262) 514-4388

NPI assigned

Dec 4, 2006

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Waterford Family Dental LLC

  • Dental Clinic/Center
  • Waterford, WI
  • NPI 1316081441
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922166198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107A W MAIN ST",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531854129",
            "telephone_number": "262-534-5303",
            "fax_number": "262-514-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107A W MAIN ST",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531854129",
            "telephone_number": "262-534-5303",
            "fax_number": "262-514-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRITTIN",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "3199-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synergy Home Care of East Troy
• Sadie Tenhagen, DPT
• Thomas C Viney DDS SC
• Beth M Thornton, SLP
• Denis J Tonsfeldt, M.D.
• Jeanette M Troha, SLP
• Kimberley G Van Buren, NP
• Sara Vandermolen, OTD, OTR/L
• Village of Waterford
• Thomas C Viney, D.D.S.

• Dentist in Waterford, WI
• Providers in Waterford, WI by specialty
• Dentist in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.