Kip Michael-David Fritz Sterling, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

11897186-9922 Issued in UT

Practice address

150 E 200 N Ste G
Logan, UT 84321-4036

Phone

(435) 753-7668

NPI assigned

Apr 24, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 20, 2021 through Sep 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sterling Endodontics PLLC

  • Endodontics
  • Logan, UT
  • NPI 1225602972
  NPD Authorized official
• Asrari Endodontics LLC

  • Endodontics
  • Gilbert, AZ
  • NPI 1902976632
  NPD (past)

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1750778072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 200 N STE G",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214036",
            "telephone_number": "435-753-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 200 N STE G",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214036",
            "telephone_number": "435-753-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERLING",
        "first_name": "KIP",
        "middle_name": "MICHAEL-DAVID FRITZ",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "9177",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "UT",
            "license": "11897186-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sterling Endodontics PLLC
• Sterling Medical LLC
• Sterling Medical LLC
• Sterling Provider Group
• Sterling Provider Group
• Steven C Funk MD PC
• Steven D. Fisher D.C., P.C.
• Steven R Young MD PC
• Don Milton Stevens, D C.
• Lyman B Stevens, M.D.

• Endodontics in Logan, UT
• Providers in Logan, UT by specialty
• Endodontics in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.