Individual provider Active NPI

Mark Andrew Strandburg, DMD

  • General Practice Dentistry
  • Warner Robins, GA
National Provider Identifier
1841519840
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN014089 Issued in GA
Practice address
1273 S Houston Lake Rd
Warner Robins, GA 31088-2708
Phone
(478) 287-2179
Fax
(478) 287-6162
NPI assigned
May 31, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN014089 GA Primary

Addresses

Primary practice location

1273 S Houston Lake Rd
Warner Robins, GA 31088-2708

Mailing address

1273 S Houston Lake Rd
Warner Robins, GA 31088-2708
Phone (478) 287-2179

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

LicenseStateTypeSpecialty
DN014089GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1275264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1841519840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 S HOUSTON LAKE RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882708",
            "telephone_number": "478-287-2179",
            "fax_number": "478-287-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 S HOUSTON LAKE RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882708",
            "telephone_number": "478-287-2179",
            "fax_number": "478-287-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRANDBURG",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-31",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.