Individual provider Active NPI

Matthew Stratman, DDS

  • Dentist
  • Tucson, AZ
National Provider Identifier
1699836262
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5711 Issued in AZ
Practice address
801 N Wilmot Rd Ste D3
Tucson, AZ 85711-1715
Phone
(520) 745-6871
Fax
(520) 790-7710
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

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
Dentist 122300000X 5711 AZ Primary

Addresses

Primary practice location

801 N Wilmot Rd Ste D3
Tucson, AZ 85711-1715

Mailing address

801 N Wilmot Rd Ste D3
Tucson, AZ 85711-1715
Phone (520) 745-6871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20151218001986 AZ Order and Referring Only - DentistPractitioner - Dentist 2365743291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Stratman DDS PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699836262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N WILMOT RD STE D3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111715",
            "telephone_number": "520-745-6871",
            "fax_number": "520-790-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N WILMOT RD STE D3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111715",
            "telephone_number": "520-745-6871",
            "fax_number": "520-790-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATMAN",
        "first_name": "MATTHEW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.