Organization Active NPI

Ross W Stryker DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lebanon, MO
National Provider Identifier
1407069792
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13809 Issued in MO
Legal business name
ROSS W STRYKER DDS PC
Practice address
590 Lynn St
Lebanon, MO 65536-2409
Phone
(417) 532-9532
Fax
(417) 532-9526
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Dr. Ross W Stryker, D.D.S., P.C.NPI 1053337410
Title
Orthodontist
Phone
(417) 532-9532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 13809 MO Primary

Addresses

Primary practice location

590 Lynn St
Lebanon, MO 65536-2409

Mailing address

PO Box 1193
Lebanon, MO 65536-1193
Phone (417) 532-9532

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1407069792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1193",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655361193",
            "telephone_number": "417-532-9532",
            "fax_number": "417-532-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 LYNN ST",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655362409",
            "telephone_number": "417-532-9532",
            "fax_number": "417-532-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS W STRYKER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "STRYKER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "417-532-9532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.C."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "13809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.