DR. MISTY HAUNANI TRYBOM D.D.S.
NPI 1427061415
Dentist - General Practice in Salem, OR

Q: What is Misty Trybom's NPI number?

The NPI number for Misty Trybom is 1427061415. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Q: What is Misty Trybom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Misty Trybom was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2006PECOS Enrolled

2300 LANCASTER DR NE, SALEM, OR 97305(503) 370-4313 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Misty Haunani Trybom D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MISTY HAUNANI TRYBOM D.D.S. (NPI 1427061415) is an individual general practice provider in Salem, Oregon, licensed in Oregon (D8617) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427061415

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MISTY HAUNANI TRYBOMCredential: D.D.S.

Location Address2300 LANCASTER DR NESalem, OR 97305-1223

Mailing Address11907 Sw Lausanne StWilsonville, OR 97070-7328 · (503) 482-5071

Phone(503) 370-4313

Sole ProprietorNo

Enumeration DateAugust 14, 2006

Last NPPES UpdateOctober 21, 2011

✔ NPI 1427061415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D8617

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2300 LANCASTER DR NE, Salem, OR 97305

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Misty Haunani Trybom D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY MICHELLE WADE RDH

Dental Hygienist