Organization Active NPI

Pronghorn Family Dentistry LLC

  • General Practice Dentistry
  • Gillette, WY
National Provider Identifier
1407877681
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
989 Issued in WY
Legal business name
PRONGHORN FAMILY DENTISTRY LLC
Practice address
109 W Lakeway Rd Ste B
Gillette, WY 82718-6352
Phone
(307) 686-1605
Fax
(307) 682-4659
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Ms. Catherine Dawn Strohschein, D.D.S.
Title
Owner Dentist
Phone
(307) 686-1605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 989 WY Primary

Addresses

Primary practice location

109 W Lakeway Rd Ste B
Gillette, WY 82718-6352

Mailing address

109 W Lakeway Rd Ste B
Gillette, WY 82718-6352
Phone (307) 686-1605

Other identifiers 1

IdentifierTypeStateIssuer
112509500MedicaidWY

Other names 2

  • Fishcer McGarvin DDS LLC Former legal business name
  • Strohschein McGarvin DDS LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

109 W Lakeway Rd
Ste B
Gillette, WY 82718
Phone (307) 682-7009

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1407877681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W LAKEWAY RD STE B",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186352",
            "telephone_number": "307-686-1605",
            "fax_number": "307-682-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W LAKEWAY RD STE B",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186352",
            "telephone_number": "307-686-1605",
            "fax_number": "307-682-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRONGHORN FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "STROHSCHEIN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "307-686-1605",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112509500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fishcer McGarvin DDS LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Strohschein McGarvin DDS LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.