Individual provider Active NPI

Lawrence J. Strugala, D.D.S.

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1073683389
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7936 Issued in AZ
Practice address
6849 N Oracle Rd
Ste. 115
Tucson, AZ 85704-4255
Phone
(520) 696-0700
Fax
(520) 696-0705
NPI assigned
Nov 8, 2006
Last updated
Feb 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901012561 MI
General Practice Dentistry 1223G0001X D7936 AZ Primary

Addresses

Primary practice location

6849 N Oracle Rd
Ste. 115
Tucson, AZ 85704-4255

Mailing address

6849 N Oracle Rd
Ste. 115
Tucson, AZ 85704-4255
Phone (520) 696-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7936AZMDGeneral Practice Dentistry
2901012561MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
An Elegant Smile, P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1073683389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 N ORACLE RD",
            "address_2": "STE. 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044255",
            "telephone_number": "520-696-0700",
            "fax_number": "520-696-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 N ORACLE RD",
            "address_2": "STE. 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044255",
            "telephone_number": "520-696-0700",
            "fax_number": "520-696-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUGALA",
        "first_name": "LAWRENCE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012561",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.