NPIMap

Organization Active NPI

Sterling Rock Falls Clinic, LTD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Sterling, IL
National Provider Identifier
1346475159
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
STERLING ROCK FALLS CLINIC, LTD
Practice address
10 W 3Rd St
Sterling, IL 61081-3503
Phone
(815) 632-5300
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Dr. Jeffrey Lemay, M.D.
Title
Pres.-Board of Directors
Phone
(815) 625-4790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

10 W 3Rd St
Sterling, IL 61081-3503

Mailing address

101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 625-4790

Other identifiers 1

IdentifierTypeStateIssuer
9815737OtherILBLUE CROSS/ BLUE SHIELD

Other names 1

  • Oral & Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oral Maxillofacial Surgery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1346475159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MILLER RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811252",
            "telephone_number": "815-625-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W 3RD ST",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610813503",
            "telephone_number": "815-632-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING ROCK FALLS CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "LEMAY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRES.-BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "815-625-4790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "9815737",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.