Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700618790 Individual Practitioner Male Practitioner

Trenten James Dippold , PA

Physician Assistant • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Trenten Dippold, PA is a certified Physician Assistant practicing in Phoenix, AZ. With approximately 2 years of clinical experience since completing medical education in 2024, Trenten Dippold delivers high-quality medical care to the local community at 1300 N 12TH ST STE 500.

Trenten Dippold is affiliated with Banner - University Primary Care Physicians Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1300 N 12th St Ste 500

Phoenix, AZ 850062849

Telephone 6028394567
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Phoenix, AZ

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
938 Specialists

Practicing in Phoenix, AZ (3711 Statewide)

Telehealth Adoption Rate
14.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dippold (2 Years) 2 Yrs
Phoenix Specialty Average (10.1 Years) 10.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 10657

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Banner - University Primary Care Physicians Llc

1300 N 12th St, Phoenix, AZ 850062849

Banner - University Primary Care Physicians Llc

1300 N 12th St, Phoenix, AZ 850062850

Phone: 6028394567

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tyler Steele

Student in an Organized Health Care Education/Training Program

NPI 1013768126
Satyam Patel

Family Medicine

NPI 1033850599
Dr. Akua Ekunwe , MD

Family Medicine

NPI 1104350123

Doctor of Medicine (M.D.)

Dr. Mandy Boltz , MD

Family Medicine

NPI 1124481353

Doctor of Medicine (M.D.)

Andrew Ochoa

Family Medicine

NPI 1144782400
Emily Eisenberg

Student in an Organized Health Care Education/Training Program

NPI 1154024388

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 08, 2025

Registered at 1300 N 12TH ST STE 500, PHOENIX, AZ 850062849 (Tel: 6028394567)

📍
Updated Business Mailing Address January 08, 2025

Registered at 555 N COLLEGE AVE APT 4047, TEMPE, AZ 852880222 (Tel: 8147065074)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2024

Physician Assistant (License #10657 in AZ)

NPI Profile Active August 17, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2024

Registered at 25 WILLIAMS ST, RUSSELL, PA 163451127 (Tel: 8147065074)

📍
Updated Business Mailing Address August 17, 2024

Registered at 25 WILLIAMS ST, RUSSELL, PA 163451127 (Tel: 8147065074)

👤
Provider Name / Credentials Updated August 17, 2024

Recorded as TRENTEN DIPPOLD, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 17, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Trenten Dippold. Be the first to share your experience!

Sign in to leave a review for Trenten Dippold

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1700618790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2024
Last Update: January 08, 2025
Sole Proprietor: Yes

Mailing Address

555 N College Ave Apt 4047

Tempe, AZ 852880222

Phone: 8147065074

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.