Jennifer Strelow, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009953 Issued in WA

Practice address

3236 78TH Ave SE
Suite 104
Mercer Island, WA 98040

Phone

(206) 232-8100

Fax

(206) 232-9115

NPI assigned

Nov 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689740599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 78TH AVE SE",
            "address_2": "SUITE 104",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "98040",
            "telephone_number": "206-232-8100",
            "fax_number": "206-232-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 78TH AVE SE",
            "address_2": "SUITE 104",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "98040",
            "telephone_number": "206-232-8100",
            "fax_number": "206-232-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRELOW",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Marie Spranger, LSW
• Mindy Stern, LSW
• Kevin Stordahl
• Steven Alva Strausz
• Matthew Thomas Streelman, DDS, MD
• Alexandra Cecil Styhl, MD
• Claire Sullivan, PT, DPT
• Tian Sun
• Sunbridge Healthcare LLC (Mercer Island Center)
• Angela Wynonna Susilo, LMHCA

• General Practice Dentistry in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.