Roger D. Stine, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30020781 Issued in OH

Practice address

102 E Main St
Norwalk, OH 44857-1821

Phone

(419) 663-0070

Fax

(419) 499-4993

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stine Family Dentistry LLC

  • General Practice Dentistry
  • Sandusky, OH
  • NPI 1033228713
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1710075262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E MAIN ST",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448571821",
            "telephone_number": "419-663-0070",
            "fax_number": "419-499-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E MAIN ST",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448571821",
            "telephone_number": "419-663-0070",
            "fax_number": "419-499-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "ROGER",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE #",
            "identifier": "30020781",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin N Stanley, APRN, CPNP
• Thomas A Stein, PA-C
• Anny Sterling
• Sarah Rose Ann Stevens, CDCA
• Katja M Stewart, LSW
• Chrystal Stover, LSW
• Amy N Stowers
• Edward Straka
• Kristal L Straka, RVT
• Brigid Anne Strauss, CPNP

• General Practice Dentistry in Norwalk, OH
• Providers in Norwalk, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.

Verify at the official NPI Registry.