Individual provider Active NPI

Cheryl R Stern, D.D.S.

  • General Practice Dentistry
  • Beachwood, OH
National Provider Identifier
1245355809
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-017550 Issued in OH
Practice address
24300 Chagrin Blvd
Suite 111
Beachwood, OH 44122-5639
Phone
(216) 514-9440
Fax
(216) 514-9450
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-017550 OH Primary

Addresses

Primary practice location

24300 Chagrin Blvd
Suite 111
Beachwood, OH 44122-5639

Mailing address

24300 Chagrin Blvd
Suite 111
Beachwood, OH 44122-5639
Phone (216) 514-9440

Other identifiers 1

IdentifierTypeStateIssuer
0897669MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-017550OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M. Stern MD Inc Current Accepting new patients
Robert M. Stern MD Inc Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245355809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24300 CHAGRIN BLVD",
            "address_2": "SUITE 111",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225639",
            "telephone_number": "216-514-9440",
            "fax_number": "216-514-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24300 CHAGRIN BLVD",
            "address_2": "SUITE 111",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225639",
            "telephone_number": "216-514-9440",
            "fax_number": "216-514-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "CHERYL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-017550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0897669",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.