Individual provider Active NPI

C. Dawn Strohschein, DDS

  • Dentist
  • Gillette, WY
National Provider Identifier
1417092693
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
989 Issued in WY
Practice address
109 W Lakeway Rd
Suite B
Gillette, WY 82718-6352
Phone
(307) 686-1605
NPI assigned
Feb 21, 2007
Last updated
Sep 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 989 WY Primary

Addresses

Primary practice location

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

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160729001613 WY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4981997855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
989WYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pronghorn Family Dentistry LLC CurrentSince Jun 15, 2004 Accepting new patients

Locations

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1417092693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W LAKEWAY RD",
            "address_2": "SUITE B",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186352",
            "telephone_number": "307-686-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W LAKEWAY RD",
            "address_2": "SUITE B",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186352",
            "telephone_number": "307-686-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROHSCHEIN",
        "first_name": "C.",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WY",
            "license": "989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.