Individual provider Active NPI

Robert H Strick, DMD

  • General Practice Dentistry
  • Norwich, CT
National Provider Identifier
1225072978
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5600 Issued in CT
Practice address
16 Osgood St
Norwich, CT 06360-5513
Phone
(860) 886-0700
Fax
(860) 425-5284
NPI assigned
Jun 15, 2006
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5600 CT Primary

Addresses

Primary practice location

16 Osgood St
Norwich, CT 06360-5513

Mailing address

16 Osgood St
Norwich, CT 06360-5513
Phone (860) 886-0700

Other identifiers 1

IdentifierTypeStateIssuer
002056000MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20160524000559 CT Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2365411154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
United Community and Family Services, Inc. PastSince Oct 6, 2004 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
United Community and Family Services, IncNorwich, CT, CCN 071942 Federally qualified health center Corporate Director Jan 1, 2014
United Community and Family Services, IncNew London, CT, CCN 071874 Federally qualified health center Corporate Director Jan 1, 2014
United Community and Family Services, IncColchester, CT, CCN 071875 Federally qualified health center Corporate Director Jan 1, 2014
United Community and Family Services, IncNorwich, CT, CCN 071872 Federally qualified health center Corporate Director Jan 1, 2014
United Community and Family Services, IncJewett City, CT, CCN 071873 Federally qualified health center Corporate Director Jan 1, 2014
United Community and Family Services, IncMoosup, CT, CCN 071894 Federally qualified health center Corporate Director Jan 1, 2014

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1225072978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OSGOOD ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063605513",
            "telephone_number": "860-886-0700",
            "fax_number": "860-425-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OSGOOD ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063605513",
            "telephone_number": "860-886-0700",
            "fax_number": "860-425-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICK",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "5600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002056000",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.