Jonathan Robert Striebel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.023788 Issued in OH

Practice address

4031 S Dixie Dr
Moraine, OH 45439-2159

Phone

(937) 293-4261

Fax

(937) 293-1144

NPI assigned

Jun 27, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dayton Dental Sleep Medicine LLC

  • Dentist
  • Dayton, OH
  • NPI 1679857981
  NPD (past)

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1992069611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 S DIXIE DR",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454392159",
            "telephone_number": "937-293-4261",
            "fax_number": "937-293-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 S DIXIE DR",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454392159",
            "telephone_number": "937-293-4261",
            "fax_number": "937-293-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIEBEL",
        "first_name": "JONATHAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Jaclyn Stokes
• Demelza Victoria Stoudt, LPCC , NCC
• Kayce Elizabeth Strahm
• Stephanie Lynn Stratton, MSE,LPCC/S
• Kelly Ann Strickland, PCC
• Artreece Lorraine Stroder, BSHS
• Kelly Strotman
• Carol Elizabeth Strychalski, LSW
• Dana Stubbs, LPN
• Katelyn Marie Studebaker

• General Practice Dentistry in Moraine, OH
• Providers in Moraine, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.