Tobin J. Strupp DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3573-015 Issued in WI

Legal business name

TOBIN J. STRUPP DDS LLC

Practice address

14335 W Capitol Dr
Suite 400
Brookfield, WI 53005-2396

Phone

(262) 783-3311

Fax

(262) 783-3313

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tobin J. Strupp, DDS

Title

Managing Member

Phone

(262) 783-3311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1972771418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14335 W CAPITOL DR",
            "address_2": "SUITE 400",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052396",
            "telephone_number": "262-783-3311",
            "fax_number": "262-783-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14335 W CAPITOL DR",
            "address_2": "SUITE 400",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052396",
            "telephone_number": "262-783-3311",
            "fax_number": "262-783-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBIN J. STRUPP DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "STRUPP",
        "authorized_official_first_name": "TOBIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "262-783-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3573-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Brookfield, WI
• Providers in Brookfield, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.