Active NPI
Kerry R Stein, DDS, MS
- Endodontics
- Marion, OH
National Provider Identifier
1457427726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 30-021575
- Practice address
- 1515 Harding Hwy E
Marion, OH 43302-4522 - Phone
- (740) 382-4112
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 30-021575 | OH | Primary |
Addresses
Primary practice location
1515 Harding Hwy E
Marion, OH 43302-4522
Mailing address
1515 Harding Hwy E
Marion, OH 43302-4522
Phone (740) 382-4112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140602001017 | OH | Order and Referring Only - Oral Surgery | 4880817337 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-021575 | OH | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1457427726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 HARDING HWY E",
"city": "MARION",
"state": "OH",
"postal_code": "433024522",
"telephone_number": "740-382-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HARDING HWY E",
"city": "MARION",
"state": "OH",
"postal_code": "433024522",
"telephone_number": "740-382-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "KERRY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "30-021575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.