Barry Robert Stromberg, DOS

Primary specialty

DentistTaxonomy code 122300000X

License

0005146 Issued in WI

Practice address

13961 60TH St N
Stillwater, MN 55082-1053

Phone

(651) 439-2600

Fax

(651) 439-2211

NPI assigned

Jul 5, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Bay Dental Associates SC

  • Dentist
  • Ashland, WI
  • NPI 1093714396
  NPD (past) Authorized official

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1265439350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13961 60TH ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821053",
            "telephone_number": "651-439-2600",
            "fax_number": "651-439-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13961 60TH ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821053",
            "telephone_number": "651-439-2600",
            "fax_number": "651-439-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROMBERG",
        "first_name": "BARRY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "0005146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33755800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Straight Smiles, PLLC (Northern Orthodontics)
• Jon Stratte, MD
• Gene Chester Stringer, MD
• Emily Stripling, LMFT
• Barbara Ann Strohbehn, MD
• Jennifer Ann Stubblefield
• Tehya Studie
• Sun Trad Chin Acu MN LLC (Sunshine Traditional Chinese Acupuncture)
• Supervalu Pharmacies Inc
• Supervalu Pharmacies Inc (Cub Pharmacy)

• Dentist in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.