Active NPI
Stephen L Sala, D.M.D.
- General Practice Dentistry
- North Royalton, OH
National Provider Identifier
1053606855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.023617
- Practice address
- 8030 Corporate Cir
North Royalton, OH 44133-1245 - Phone
- (440) 845-7300
- Fax
- (440) 845-7785
- NPI assigned
- Jun 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.023617 | OH | Primary |
Addresses
Primary practice location
8030 Corporate Cir
North Royalton, OH 44133-1245
Mailing address
8030 Corporate Cir
North Royalton, OH 44133-1245
Phone (440) 845-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.023617 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1053606855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8030 CORPORATE CIR",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441331245",
"telephone_number": "440-845-7300",
"fax_number": "440-845-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8030 CORPORATE CIR",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441331245",
"telephone_number": "440-845-7300",
"fax_number": "440-845-7785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALA",
"first_name": "STEPHEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-09",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.023617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Royalton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.