Active NPI
Robert Stelfox Jr.
- Dentist
- Sparta, IL
National Provider Identifier
1265861074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019015697
- Practice address
- 712 S Saint Louis St
Sparta, IL 62286-1940 - Phone
- (618) 971-5741
- NPI assigned
- Nov 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019015697 | IL | Primary |
| Dentist | 122300000X | 28433 | TX |
Addresses
Primary practice location
712 S Saint Louis St
Sparta, IL 62286-1940
Mailing address
712 S Saint Louis St
P O Box 213
Sparta, IL 62286-1940
Phone (618) 971-5741
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019015697 | IL | MD | Dentist |
| 28433 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383350400000",
"number": "1265861074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 S SAINT LOUIS ST",
"address_2": "P O BOX 213",
"city": "SPARTA",
"state": "IL",
"postal_code": "622861940",
"telephone_number": "618-971-5741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 S SAINT LOUIS ST",
"city": "SPARTA",
"state": "IL",
"postal_code": "622861940",
"telephone_number": "618-971-5741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELFOX",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-02",
"last_updated": "2013-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019015697",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28433",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparta, IL
- Sparta Community Unit Dist 140 of Randolph County
- Sparta Communty Hospital D/B/a Quality Healthcare Clinics
- Becky A. Springston, LCSW
- St Anthonys Physician Organization of Illinois (St Anthony's Neurosurgery Specialists)
- Katie Elizabeth Stegmann, PHARMD
- Olivia Nell Strickley, RD
- Thrive Family Chiropractic LLC
- Tricorex Inc (Healthcare Equipment & Supply)
- Adam J Vagner
- Victoria J. Willingham, O.D., P.C. (EyeCare Plus)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.