Organization Active NPI

Sterling Family Dental Care, LLC

  • General Practice Dentistry
  • Mt Sterling, KY
National Provider Identifier
1720133879
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7057 Issued in KY
Legal business name
STERLING FAMILY DENTAL CARE, LLC
Practice address
100 E High St
Mt Sterling, KY 40353-1214
Phone
(859) 498-7130
Fax
(859) 498-7138
NPI assigned
Jan 25, 2007
Last updated
Sep 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Dr. Jon Kelly Johnson, D.M.D.NPI 1760765770
Title
Dentist Direct Owner
Phone
(859) 498-7130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7057 KY Primary

Addresses

Primary practice location

100 E High St
Mt Sterling, KY 40353-1214

Mailing address

100 E High St
Mt Sterling, KY 40353-1214
Phone (859) 498-7130

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1720133879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HIGH ST",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531214",
            "telephone_number": "859-498-7130",
            "fax_number": "859-498-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HIGH ST",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531214",
            "telephone_number": "859-498-7130",
            "fax_number": "859-498-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING FAMILY DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "DENTIST DIRECT OWNER",
        "authorized_official_telephone_number": "859-498-7130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.