Organization Active NPI

Sterling Medicaid Services LLC

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1134315344
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
STERLING MEDICAID SERVICES LLC
Practice address
6510 S Western Ave
Suite 101
Oklahoma City, OK 73139-1712
Phone
(405) 634-7303
Fax
(405) 634-7868
NPI assigned
Sep 20, 2007
Organization subpart
Yes
Parent organization
STALDER INVESTMENTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Mr. Sterling H Stalder, DDS
Title
Owner/Manager
Phone
(405) 728-1278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6510 S Western Ave
Suite 101
Oklahoma City, OK 73139-1712

Mailing address

PO Box 891330
Oklahoma City, OK 73189-1330
Phone (405) 728-1278

National Provider Directory

National Provider Directory

Locations

6510 S Western Ave
Ste 101
Oklahoma City, OK 73139
Phone (405) 634-7303

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1134315344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891330",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731891330",
            "telephone_number": "405-728-1278",
            "fax_number": "405-720-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 S WESTERN AVE",
            "address_2": "SUITE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391712",
            "telephone_number": "405-634-7303",
            "fax_number": "405-634-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING MEDICAID SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STALDER INVESTMENTS LLC",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "STALDER",
        "authorized_official_first_name": "STERLING",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "405-728-1278",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.