Individual provider Active NPI

Robert J Strathmann, DDS

  • General Practice Dentistry
  • Holt, MI
National Provider Identifier
1578505673
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9462 Issued in MI
Practice address
2107 Aurelius Rd
Holt, MI 48842-1333
Phone
(517) 694-7610
Fax
(517) 694-4594
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9462 MI Primary

Addresses

Primary practice location

2107 Aurelius Rd
Holt, MI 48842-1333

Mailing address

2107 Aurelius Rd
Holt, MI 48842-1333
Phone (517) 694-7610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160928002203 MI Order and Referring Only - DentistPractitioner - Dentist 7911294384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9462MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578505673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 AURELIUS RD",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421333",
            "telephone_number": "517-694-7610",
            "fax_number": "517-694-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 AURELIUS RD",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421333",
            "telephone_number": "517-694-7610",
            "fax_number": "517-694-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATHMANN",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "9462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holt, MI

Sources for this page

Verify at the official NPI Registry.