Individual provider Active NPI

James Russell Strang, DDS

  • Dentist
  • Baltimore, MD
National Provider Identifier
1710100631
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6774 Issued in MD
Practice address
6420 Park Heights Ave
A
Baltimore, MD 21215-3005
Phone
(410) 764-7300
Fax
(410) 764-3079
NPI assigned
Apr 10, 2007
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 6774 MD Primary

Addresses

Primary practice location

6420 Park Heights Ave
A
Baltimore, MD 21215-3005

Mailing address

6420 Park Heights Ave
A
Baltimore, MD 21215-3005
Phone (410) 764-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160706000628 MD Order and Referring Only - DentistPractitioner - Dentist 7214229657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6774MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710100631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 PARK HEIGHTS AVE",
            "address_2": "A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153005",
            "telephone_number": "410-764-7300",
            "fax_number": "410-764-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 PARK HEIGHTS AVE",
            "address_2": "A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153005",
            "telephone_number": "410-764-7300",
            "fax_number": "410-764-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRANG",
        "first_name": "JAMES",
        "middle_name": "RUSSELL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "6774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.