Marissa Stroube, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9011 Issued in TN

Practice address

608 Commons Dr
Suite B
Gallatin, TN 37066-6349

Phone

(615) 230-6611

Fax

(615) 230-6614

NPI assigned

Jul 8, 2009

Sex

Female

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 TN

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

State licenses

Practice roles

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

• Eric E. Schuh, DDS, PC

  • Dental Clinic/Center
  • Gallatin, TN
  • NPI 1427116177
  NPD (past)

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1821227018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 COMMONS DR",
            "address_2": "SUITE B",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666349",
            "telephone_number": "615-230-6611",
            "fax_number": "615-230-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 COMMONS DR",
            "address_2": "SUITE B",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666349",
            "telephone_number": "615-230-6611",
            "fax_number": "615-230-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUBE",
        "first_name": "MARISSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rosemary Stoll Smith
• Erica Lynne Stone, APN
• Steven Charles Stoneman, DVM
• Kim Desiree Storey
• Natalie Storey
• Jennifer Stroud
• Kelly Strunk, RN
• Brian J Stuart, MD
• James Grant Stubblefield III, DPH
• Nancy Kate Sullivan, B.A.

• General Practice Dentistry in Gallatin, TN
• Providers in Gallatin, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.