Organization Active NPI

Thomas J. Strub, D.D.S.,P.C.

  • General Practice Dentistry
  • Cedar Falls, IA
National Provider Identifier
1306999560
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07046 Issued in IA
Legal business name
THOMAS J. STRUB, D.D.S.,P.C.
Practice address
715 Bluegrass Cir
Cedar Falls, IA 50613-7978
Phone
(319) 266-3545
Fax
(319) 266-3546
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas J Strub, D.D.S.
Title
President
Phone
(319) 266-3545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 07046 IA Primary

Addresses

Primary practice location

715 Bluegrass Cir
Cedar Falls, IA 50613-7978

Mailing address

715 Bluegrass Cir
Cedar Falls, IA 50613-7978
Phone (319) 266-3545

Other identifiers 1

IdentifierTypeStateIssuer
0135251MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306999560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 BLUEGRASS CIR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137978",
            "telephone_number": "319-266-3545",
            "fax_number": "319-266-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 BLUEGRASS CIR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137978",
            "telephone_number": "319-266-3545",
            "fax_number": "319-266-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. STRUB, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRUB",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-266-3545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135251",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.