Active NPI
Brian S Stratman, D.D.S.
- Dentist
- Anderson, IN
National Provider Identifier
1255348561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12010195
- Practice address
- 820 E 53Rd St
Anderson, IN 46013-1731 - Phone
- (765) 642-9811
- Fax
- (765) 642-9893
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12010195 | IN | Primary |
Addresses
Primary practice location
820 E 53Rd St
Anderson, IN 46013-1731
Mailing address
820 E 53Rd St
Anderson, IN 46013-1731
Phone (765) 642-9811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161031001946 | IN | Order and Referring Only - Dentist | 5092989483 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12010195 | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255348561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 E 53RD ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460131731",
"telephone_number": "765-642-9811",
"fax_number": "765-642-9893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 E 53RD ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460131731",
"telephone_number": "765-642-9811",
"fax_number": "765-642-9893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATMAN",
"first_name": "BRIAN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12010195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.