David Streitz, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019029930 Issued in IL

Practice address

1711 Campbell St
Joliet, IL 60435-6709

Phone

(815) 725-6868

Fax

(815) 730-7809

NPI assigned

Jul 10, 2014

Sex

Male

Sole proprietor

No

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

Enrolled in IL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas J Streitz DDS PC

  • General Practice Dentistry
  • Joliet, IL
  • NPI 1487956959
  NPD (past)

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1063828002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 CAMPBELL ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356709",
            "telephone_number": "815-725-6868",
            "fax_number": "815-730-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 CAMPBELL ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356709",
            "telephone_number": "815-725-6868",
            "fax_number": "815-730-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREITZ",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Dominika Stopa, M.A.
• Mary Ann Storie, LCSW
• Catherine J. Stowe, CPNP
• Daniel Thomas Streitz Jr., D.M.D.
• Daniel Thomas Streitz Sr., DDS
• Mark Steven Streitz, DDS
• Thomas J Streitz, D.D.S
• Strive Medical LLC
• Melissa Ann Struck, AU.D
• Jessica Stubler

• Dentist in Joliet, IL
• Providers in Joliet, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.