Active NPI
Robert Arthur Strathman, D.D.S.
- Periodontics
- Ballwin, MO
National Provider Identifier
1316034895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 14135
- Practice address
- 15421 Clayton Rd Ste 203
Ballwin, MO 63011-3161 - Phone
- (636) 394-9177
- Fax
- (636) 394-6911
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 14135 | MO | Primary |
Addresses
Primary practice location
15421 Clayton Rd Ste 203
Ballwin, MO 63011-3161
Mailing address
2141 Hunters Way CT
Chesterfield, MO 63017-5025
Phone (636) 519-9504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20140522002269 | MO | Order and Referring Only - Oral Surgery | 8022231877 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316034895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2141 HUNTERS WAY CT",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175025",
"telephone_number": "636-519-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15421 CLAYTON RD STE 203",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630113161",
"telephone_number": "636-394-9177",
"fax_number": "636-394-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATHMAN",
"first_name": "ROBERT",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MO",
"license": "14135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ballwin, MO
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.