Individual provider Active NPI

Nicholas Hanns Stroeters, DDS

  • Dentist
  • Fort Hood, TX
National Provider Identifier
1093239121
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022318 Issued in MI
Practice address
36000 Darnall Loop Ste 1048
Fort Hood, TX 76544-5095
Phone
(254) 287-2705
NPI assigned
Jul 31, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022318 MI Primary

Addresses

Primary practice location

36000 Darnall Loop Ste 1048
Fort Hood, TX 76544-5095

Mailing address

2441 21St St
Fort Campbell, KY 42223-5582
Phone (270) 798-8751

Other practice location 1

652 Hamilton Rd
USA Dental Health Activity
Fort Sill, OK 73503
Phone (580) 442-3905

Other practice location 2

2441 21st St
Fort Campbell, KY 42223-5582
Phone (270) 798-8751

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901022318MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1093239121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 21ST ST",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235582",
            "telephone_number": "270-798-8751",
            "fax_number": "270-956-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 DARNALL LOOP STE 1048",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445095",
            "telephone_number": "254-287-2705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "652 Hamilton Rd",
            "address_2": "USA Dental Health Activity",
            "address_purpose": "LOCATION",
            "city": "Fort Sill",
            "state": "OK",
            "postal_code": "73503",
            "country_code": "US",
            "telephone_number": "580-442-3905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2441 21st St",
            "address_purpose": "LOCATION",
            "city": "Fort Campbell",
            "state": "KY",
            "postal_code": "422235582",
            "country_code": "US",
            "telephone_number": "270-798-8751",
            "fax_number": "270-956-0266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROETERS",
        "first_name": "NICHOLAS",
        "middle_name": "HANNS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.