Individual provider Active NPI

Kathryn Elizabeth Stradley, D.D.S.

  • General Practice Dentistry
  • Greensburg, IN
National Provider Identifier
1982830378
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12011294A Issued in IN
Practice address
112 E 10TH St
Greensburg, IN 47240-8202
Phone
(812) 509-5866
NPI assigned
May 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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 12011294A IN Primary

Addresses

Primary practice location

112 E 10TH St
Greensburg, IN 47240-8202

Mailing address

112 E 10TH St
Greensburg, IN 47240-8202
Phone (812) 509-5866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160419001203 IN Order and Referring Only - DentistPractitioner - Dentist 5799083192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stradley Family Dental LLC General Practice PastSince Sep 28, 2025 Accepting new patients
Stradley Hagerty LLC General Practice Past Accepting new patients
Major Hospital 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": "1243728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1982830378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E 10TH ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472408202",
            "telephone_number": "812-509-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 10TH ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472408202",
            "telephone_number": "812-509-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRADLEY",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-31",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011294A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, IN

Sources for this page

Verify at the official NPI Registry.