Individual provider Active NPI

Todd D Strickland, D.D.S., P.A

  • General Practice Dentistry
  • Southlake, TX
National Provider Identifier
1386765675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19413 Issued in TX
Practice address
1100 E Southlake Blvd
600
Southlake, TX 76092-6357
Phone
(817) 329-2791
Fax
(817) 488-0510
NPI assigned
Apr 3, 2007
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
General Practice Dentistry 1223G0001X 19413 TX Primary

Addresses

Primary practice location

1100 E Southlake Blvd
600
Southlake, TX 76092-6357

Mailing address

1100 E Southlake Blvd
600
Southlake, TX 76092-6357
Phone (817) 329-2791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 20, 2016 through Apr 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
19413TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386765675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E SOUTHLAKE BLVD",
            "address_2": "600",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926357",
            "telephone_number": "817-329-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E SOUTHLAKE BLVD",
            "address_2": "600",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926357",
            "telephone_number": "817-329-2791",
            "fax_number": "817-488-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "TODD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.