Organization Active NPI

Thomas J Streitz DDS PC

  • General Practice Dentistry
  • Joliet, IL
National Provider Identifier
1487956959
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019010971 Issued in IL
Legal business name
THOMAS J STREITZ DDS PC
Practice address
1711 Campbell St
Joliet, IL 60435-6709
Phone
(815) 725-6868
Fax
(815) 730-7809
NPI assigned
Dec 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Dr. Thomas J Streitz, DDSNPI 1487857496
Title
Owner
Phone
(815) 725-6868

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019010971 IL Primary

Addresses

Primary practice location

1711 Campbell St
Joliet, IL 60435-6709

Mailing address

1711 Campbell St
Joliet, IL 60435-6709
Phone (815) 725-6868

National Provider Directory

National Provider Directory

Locations

1711 Campbell St
Joliet, IL 60435
Phone (815) 725-6868

Practitioners & affiliated clinicians

Practitioners 4

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": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1487956959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 CAMPBELL ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356709",
            "telephone_number": "815-725-6868",
            "fax_number": "815-730-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 CAMPBELL ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356709",
            "telephone_number": "815-725-6868",
            "fax_number": "815-730-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J STREITZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "STREITZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-725-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019010971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.