Individual provider Active NPI

Kathleen Mary Stratton, DDS

  • General Practice Dentistry
  • Holland, MI
National Provider Identifier
1982628319
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13206 Issued in MI
Practice address
890 Washington Ave
Suite 120
Holland, MI 49423-7731
Phone
(616) 355-7009
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13206 MI Primary

Addresses

Primary practice location

890 Washington Ave
Suite 120
Holland, MI 49423-7731

Mailing address

890 Washington Ave
Suite 120
Holland, MI 49423-7731
Phone (616) 355-7009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160210002485 MI Order and Referring Only - DentistPractitioner - Dentist 6709180821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13206MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Harris DDS PLLC PastSince Oct 1, 2023 Accepting new patients
Professional Occupational & Physical Therapy, PLLC PastSince Aug 21, 2017 Accepting new patients
Kathleen M Stratton, DDS, PC Past Accepting new patients

Organizations & group practices 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982628319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 WASHINGTON AVE",
            "address_2": "SUITE 120",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237731",
            "telephone_number": "616-355-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 WASHINGTON AVE",
            "address_2": "SUITE 120",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237731",
            "telephone_number": "616-355-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.