Active NPI
Sterling Black, D.C.
- Chiropractor
- Blanding, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 272983-1202
- Practice address
- 792 S. Main St.
Blanding, UT 84511 - Phone
- (435) 678-2795
- Fax
- (435) 678-2796
- NPI assigned
- May 11, 2006
- Last updated
- Jul 30, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 272983-1202 | UT | Primary |
Addresses
Primary practice location
792 S. Main St.
Blanding, UT 84511
Mailing address
792 S. Main St.
Blanding, UT 84511
Phone (435) 678-2795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870395551005 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
East Hwy 262
Montezuma Creek, UT 84534-0130
Phone (435) 651-3700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272983-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Navajo Health System, Incorporated | Current | Accepting new patients | |
| Frogley Holding LLC | Chiropractor | Past | Accepting new patients |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients | |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients |
Locations
792 S Main St
Blanding, UT 84511
Phone (435) 678-2795
910 S 300 W
Blanding, UT 84511
Phone (435) 678-0700
Interoperability endpoints
- sterling.black.1@16098.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Montezuma Creek Community Health Center
- Federally Qualified Health Center (FQHC)
- Montezuma Creek, UT
- NPI 1811991151
-
- Chiropractor
- Bountiful, UT
- NPI 1376735795
-
dba San Juan Chiropractic & Wellness Center
- Chiropractor
- Blanding, UT
- NPI 1588847909
-
dba Blanding Family Practice Community Health Center
- Family Medicine Physician
- Blanding, UT
- NPI 1457489486
-
- Land Ambulance
- Montezuma Creek, UT
- NPI 1598198434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1699725747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 S. MAIN ST.",
"city": "BLANDING",
"state": "UT",
"postal_code": "84511",
"telephone_number": "435-678-2795",
"fax_number": "435-678-2796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "792 S. MAIN ST.",
"city": "BLANDING",
"state": "UT",
"postal_code": "84511",
"telephone_number": "435-678-2795",
"fax_number": "435-678-2796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "STERLING",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "272983-1202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "870395551005",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blanding, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.