Active NPI
Nathaniel Anthony Strigenz
- General Practice Dentistry
- Milwaukee, WI
National Provider Identifier
1356970370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 00205042
- Practice address
- 205 E Wisconsin Ave
Milwaukee, WI 53202-4207 - Phone
- (414) 778-3600
- NPI assigned
- Apr 2, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1002411-15 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 00205042 | CO | Primary |
Addresses
Primary practice location
205 E Wisconsin Ave
Milwaukee, WI 53202-4207
Mailing address
4932 Bullis Farm Rd Apt 212
Eau Claire, WI 54701-2720
Phone (920) 904-7454
Other practice location 1
1996 Golf Course Dr
Fond Du Lac, WI 54937-6100
Phone (920) 904-7454
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 |
|---|---|---|---|
| 00205042 | CO | MD | General Practice Dentistry |
| 1002411-15 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates LTD of Wisconsin | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1356970370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4932 BULLIS FARM RD APT 212",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547012720",
"telephone_number": "920-904-7454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024207",
"telephone_number": "414-778-3600"
}
],
"practiceLocations": [
{
"address_1": "1996 Golf Course Dr",
"address_purpose": "LOCATION",
"city": "Fond Du Lac",
"state": "WI",
"postal_code": "549376100",
"country_code": "US",
"telephone_number": "920-904-7454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRIGENZ",
"first_name": "NATHANIEL",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-02",
"last_updated": "2023-05-23",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "1002411-15",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "00205042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.