Individual provider Active NPI

A Vandiveer Strait, DDS

  • Dentist
  • Wilton, CT
National Provider Identifier
1891905048
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3849 Issued in CT
Practice address
44 Old Ridgefield Rd
Suite 212
Wilton, CT 06897-3055
Phone
(203) 761-0223
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3849 CT Primary

Addresses

Primary practice location

44 Old Ridgefield Rd
Suite 212
Wilton, CT 06897-3055

Mailing address

113 E Cross Rd
Stamford, CT 06907-1108
Phone (203) 322-5547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160628001996 CT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5092006791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
D'Andrea Dental P.C. PastSince Nov 29, 2020 Accepting new patients

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1891905048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E CROSS RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069071108",
            "telephone_number": "203-322-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 OLD RIDGEFIELD RD",
            "address_2": "SUITE 212",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973055",
            "telephone_number": "203-761-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAIT",
        "first_name": "A",
        "middle_name": "VANDIVEER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "3849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

Verify at the official NPI Registry.