Active NPI
David Charles Streif, D.D.S.
- Dentist
- St Louis Park, MN
National Provider Identifier
1861570186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9577
- Practice address
- 6600 Excelsior Blvd
Suite 191
St Louis Park, MN 55426-4744 - Phone
- (952) 931-9961
- Fax
- (952) 931-3944
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9577 | MN | Primary |
Addresses
Primary practice location
6600 Excelsior Blvd
Suite 191
St Louis Park, MN 55426-4744
Mailing address
2780 Shadyview LN N
Plymouth, MN 55447-1679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 8, 2021 through Jan 8, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- University of Minnesota School of Dentistry, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4956 Lincoln Dr
Edina, MN 55436-1071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861570186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 SHADYVIEW LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554471679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 EXCELSIOR BLVD",
"address_2": "SUITE 191",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554264744",
"telephone_number": "952-931-9961",
"fax_number": "952-931-3944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREIF",
"first_name": "DAVID",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "9577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.