Individual provider Active NPI

Monroe Sternlieb, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Rancho Mirage, CA
National Provider Identifier
1417170895
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
032618 Issued in CA
Practice address
69846 Highway 111
Ste. a
Rancho Mirage, CA 92270-2857
Phone
(760) 770-1570
Fax
(760) 324-8930
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 032618 CA Primary

Addresses

Primary practice location

69846 Highway 111
Ste. a
Rancho Mirage, CA 92270-2857

Mailing address

69846 Highway 111
Ste. a
Rancho Mirage, CA 92270-2857
Phone (760) 770-1570

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
032618CAMDOral and Maxillofacial Surgery (Dentist)
32618CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417170895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69846 HIGHWAY 111",
            "address_2": "STE. A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702857",
            "telephone_number": "760-770-1570",
            "fax_number": "760-324-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69846 HIGHWAY 111",
            "address_2": "STE. A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702857",
            "telephone_number": "760-770-1570",
            "fax_number": "760-324-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNLIEB",
        "first_name": "MONROE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "032618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.