Active NPI
Robert Brock Stratman, DDS
- General Practice Dentistry
- Indianapolis, IN
National Provider Identifier
1356878409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12012683A
- Practice address
- 8060 N Shadeland Ave Ste B
Indianapolis, IN 46250-2690 - Phone
- (317) 288-5023
- NPI assigned
- May 19, 2017
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12012683A | IN | Primary |
Addresses
Primary practice location
8060 N Shadeland Ave Ste B
Indianapolis, IN 46250-2690
Mailing address
435 Virginia Ave Unit 102
Indianapolis, IN 46203-1965
Phone (317) 498-0420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12012683A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Dentist,LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Indianapolis, IN
- NPI 1518334705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495152000000",
"number": "1356878409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 VIRGINIA AVE UNIT 102",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462031965",
"telephone_number": "317-498-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8060 N SHADELAND AVE STE B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502690",
"telephone_number": "317-288-5023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATMAN",
"first_name": "ROBERT",
"middle_name": "BROCK",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-19",
"last_updated": "2017-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12012683A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.