Timothy L. Straka D.D.S., L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019018122 Issued in IL

Legal business name

TIMOTHY L. STRAKA D.D.S., L.L.C.

Practice address

3 S Greenleaf St Ste L
Gurnee, IL 60031-3377

Phone

(847) 360-8450

NPI assigned

Dec 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Timothy L Straka, D.D.S.NPI 1013130657

Title

Member

Phone

(847) 360-8450

Specialties & licenses 1

Addresses

Tax ID family

Timothy L Straka DDS LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Timothy L. Straka D.D.S., L.L.C.

  • Dentist
  • Chicago, IL
  • NPI 1205132925
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Lars Straka, DDS

  • Dentist
  • Gurnee, IL
  • NPI 1013130657
  NPD (past) Authorized official

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1679877195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 S. GREENLEAF ST STE L",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313377",
            "telephone_number": "847-360-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 S GREENLEAF ST STE L",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313377",
            "telephone_number": "847-360-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY L. STRAKA D.D.S., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "STRAKA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-360-8450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Throm
• Tien C. Cheng, MD,SC
• Michael Timins, MD
• Irina Timoshevskaya, PA-C
• Timothy Casey DPM PC
• Timothy V Erdle DMD PLLC
• Claudia Tiwet, MD
• Neda Zergollern Tkalcevic, MD
• Matthew J Tobkin, DDS
• Together in Wellness PLLC

• General Practice Dentistry in Gurnee, IL
• Providers in Gurnee, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.