Active NPI
Pronghorn Family Dentistry LLC
- General Practice Dentistry
- Gillette, WY
National Provider Identifier
1407877681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 989
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112509500 | Medicaid | WY |
Other names 2
- Fishcer McGarvin DDS LLC
- Strohschein McGarvin DDS LLC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Gillette, WY
- NPI 1417092693
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.