Jacob Streng, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901021958 Issued in MI

Practice address

939 E Pontaluna Rd
Norton Shores, MI 49444-9778

Phone

(231) 798-9911

NPI assigned

Jun 15, 2016

Sex

Male

Sole proprietor

Yes

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 MI

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

Practice roles

Locations

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.

• Lake Michigan Family Dental, PLLC

  • Dental Clinic/Center
  • Norton Shores, MI
  • NPI 1497536981
  NPD Authorized official
• Robinson Community Dental Clinic

  • Dental Clinic/Center
  • Wayland, MI
  • NPI 1174963375
  NPD (past)

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1780034298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 E PONTALUNA RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494449778",
            "telephone_number": "616-402-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 E PONTALUNA RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494449778",
            "telephone_number": "231-798-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRENG",
        "first_name": "JACOB",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stillwater Rehabilitation Medicine PLLC
• Ashlee Stone, DNP
• Sara Elizabeth Stout, FNP
• Sara Strait
• Joseph David Straley, R.PH.
• Alisa Stressman
• Jaclyn Suchecki, SLP
• Brenda Summers, LPC
• Kimberly Summerville
• Susan L Drust NP PLLC

• Dentist in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.