Lawrence Kimbell Stryker, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00004707 Issued in WA

Practice address

7508 NE Vancouver Mall Dr
Vancouver, WA 98662-6467

Phone

(360) 254-6411

NPI assigned

Aug 3, 2006

Last updated

May 28, 2014By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pickens Family Dentistry

  • Dental Clinic/Center
  • Vancouver, WA
  • NPI 1750734620
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1851309389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7508 NE VANCOUVER MALL DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626467",
            "telephone_number": "360-254-6411",
            "fax_number": "360-944-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7508 NE VANCOUVER MALL DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626467",
            "telephone_number": "360-254-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRYKER",
        "first_name": "LAWRENCE",
        "middle_name": "KIMBELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00004707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "5397005",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "206318",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiana Annalice Stroup, CDPT
• Catherine Myra Strouse, M.D.
• Randall Kent Strutz, RN, CDPT
• Leslie A Struxness, M.D.
• Felicia Sunshine Struys, CBT
• Allison Christine Stuart, MSW
• Aspen Stuart, MD
• Catherine Stuart, LMHCA, NCC
• Gil R Stuart, MA, LHMCA
• Russell Stuart, MD

• Dentist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.