Active NPI
Robert Lee Strain, DDS
- Dentist
- Prescott, AZ
National Provider Identifier
1801924956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D010293
- Practice address
- 1227 Willow Creek Rd
Prescott, AZ 86301-1427 - Phone
- (928) 778-7227
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 23044 | CA | |
| Dentist | 122300000X | D010293 | AZ | Primary |
Addresses
Primary practice location
1227 Willow Creek Rd
Prescott, AZ 86301-1427
Mailing address
1636 Morning Stone Dr
Prescott, AZ 86305-1101
Phone (714) 292-5238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D010293 | Other | AZ | ARIZONA BOARD OF DENTAL EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D010293 | AZ | MD | Dentist |
| 23044 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1801924956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1636 MORNING STONE DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863051101",
"telephone_number": "714-292-5238",
"fax_number": "760-418-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 WILLOW CREEK RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011427",
"telephone_number": "928-778-7227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAIN",
"first_name": "ROBERT",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "23044",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "AZ",
"license": "D010293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA BOARD OF DENTAL EXAMINERS",
"identifier": "D010293",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.