Individual provider Active NPI

Eric R Strayer, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Greensburg, PA
National Provider Identifier
1891131876
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS040702 Issued in PA
Practice address
31 N Maple Ave
Greensburg, PA 15601
Phone
(724) 837-7770
NPI assigned
May 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0401414067 VA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS040702 PA Primary

Addresses

Primary practice location

31 N Maple Ave
Greensburg, PA 15601

Mailing address

31 N Maple Ave
Greensburg, PA 15601-2503
Phone (724) 837-7770

Other practice location 1

301 University Blvd
John Sealy Annex Room 6.106
Galveston, TX 77555-0531
Phone (409) 772-1546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20180716000119 PA Practitioner - Oral Surgery 8729335237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral and Maxillofacial Surgery LTDGroup PAC ID 7012968217, 2 clinicians

Practice addresses (Care Compare)

31 N Maple Ave
Greenburg, PA 15601-2503
Phone (724) 837-7770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401414067VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Maxillofacial Surgery, LTD. Oral and Maxillofacial Surgery CurrentSince Jul 9, 2018 Accepting new patients

Locations

31 N Maple Ave
Greensburg, PA 15601
Phone (724) 837-7770

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1891131876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 N MAPLE AVE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012503",
            "telephone_number": "724-837-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 N MAPLE AVE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-837-7770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_2": "JOHN SEALY ANNEX ROOM 6.106",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550531",
            "country_code": "US",
            "telephone_number": "409-772-1546",
            "fax_number": "409-747-7378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAYER",
        "first_name": "ERIC",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0401414067",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS040702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.