Daniel S Streck, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

29489 Issued in CA

Practice address

375 Dental Squadron Losey St
Scott AFB, IL 62225

Phone

(618) 256-6667

NPI assigned

Sep 20, 2005

Sex

Male

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

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760477319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 ROSEBURY AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053215",
            "telephone_number": "618-256-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 DENTAL SQUADRON LOSEY ST",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "62225",
            "telephone_number": "618-256-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRECK",
        "first_name": "DANIEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "29489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa A Simpson, M.D.
• David Loren Snowden, LCSW
• Derek J Speten, MS, PHARM D
• Abigail R Steffens, M.S. CCC-SLP
• Donna Stewart, RN
• Sunland Optical Co., Inc
• Sarah Surrey, LCSW
• Emily Ann Svezia, PHARMD
• Donald Jay Swierenga, DDS
• Cathy Sue Takacs, R.D., L.D.N.

• Periodontics in Scott AFB, IL
• Providers in Scott AFB, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.