1194786798 NPI number — DR. MICHAEL CHRISTOPHER STRAPULOS DDS

Table of content: DR. DALE STEVEN BRINK DPM, FACFAS (NPI 1093722365)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194786798 NPI number — DR. MICHAEL CHRISTOPHER STRAPULOS DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STRAPULOS
Provider First Name:
MICHAEL
Provider Middle Name:
CHRISTOPHER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194786798
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/23/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4000 N. MERIDIAN
Provider Second Line Business Mailing Address:
5DJ
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46208
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-923-1000
Provider Business Mailing Address Fax Number:
317-852-3156

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
321 NORTHFIELD DR
Provider Second Line Business Practice Location Address:
STE. 300
Provider Business Practice Location Address City Name:
BROWNSBURG
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46112-2420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-852-3176
Provider Business Practice Location Address Fax Number:
317-852-3156
Provider Enumeration Date:
03/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  7069 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com