Individual provider Active NPI

Robert Arthur Strathman, D.D.S.

  • Periodontics
  • Ballwin, MO
National Provider Identifier
1316034895
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
14135 Issued in MO
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140522002269 MO Order and Referring Only - Oral SurgeryPractitioner - 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

Verify at the official NPI Registry.