David J Stern, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019019833 Issued in IL

Practice address

149 N Virginia St
Suite 100
Crystal Lake, IL 60014-3400

Phone

(815) 444-6444

Fax

(815) 444-6446

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Randy Halihan Family Dentistry

  • General Practice Dentistry
  • Crystal Lake, IL
  • NPI 1558768879
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1144265182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 WATERFORD DR",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N VIRGINIA ST",
            "address_2": "SUITE 100",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143400",
            "telephone_number": "815-444-6444",
            "fax_number": "815-444-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rimvydas Statkus, DPM
• Allison Steffens, DPT
• Kayla Margaret Steinberg
• Ashley Stensland, OTR/L
• Grace Sterchi, LSW
• Jason G Sterwerf, LCPC
• Nataliia Steshenko, PHYSICIAN EXTENDER
• Steven Mesmer & Associates, LLC
• Kristen Stewart, PHARMD
• Regina M Stilling, CNP

• General Practice Dentistry in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.