Individual provider Active NPI

Roger Hiles Strause, D.D.S.

  • General Practice Dentistry
  • Lancaster, PA
National Provider Identifier
1639263874
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS026681L Issued in PA
Practice address
803 Estelle Dr
Lancaster, PA 17601-2130
Phone
(717) 898-9099
Fax
(717) 898-8665
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DS026681L PA Primary

Addresses

Primary practice location

803 Estelle Dr
Lancaster, PA 17601-2130

Mailing address

803 Estelle Dr
Lancaster, PA 17601-2130
Phone (717) 898-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150618000849 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1355652215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS026681LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Centerville Family Dental, LTD. Current Accepting new patients
Centerville Family Dental, LTD. Current Accepting new patients

Locations

803 Estelle Dr
Lancaster, PA 17601
Phone (717) 898-9099

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639263874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 ESTELLE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012130",
            "telephone_number": "717-898-9099",
            "fax_number": "717-898-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 ESTELLE DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012130",
            "telephone_number": "717-898-9099",
            "fax_number": "717-898-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUSE",
        "first_name": "ROGER",
        "middle_name": "HILES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026681L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.