Active NPI
Jeffrey Lane Stern, DDS
- Dentist
- Stratham, NH
National Provider Identifier
1962428987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- NH1867
- Practice address
- 157 Portsmouth Avenue
Stratham, NH 03885-0277 - Phone
- (603) 772-3264
- Fax
- (603) 418-6316
- NPI assigned
- Jul 14, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | NH1867 | NH | Primary |
Addresses
Primary practice location
157 Portsmouth Avenue
Stratham, NH 03885-0277
Mailing address
PO Box 277
Stratham, NH 03885
Phone (603) 772-3264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30005276 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NH1867 | NH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962428987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 277",
"city": "STRATHAM",
"state": "NH",
"postal_code": "03885",
"telephone_number": "603-772-3264",
"fax_number": "608-418-6316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 PORTSMOUTH AVENUE",
"city": "STRATHAM",
"state": "NH",
"postal_code": "038850277",
"telephone_number": "603-772-3264",
"fax_number": "603-418-6316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "JEFFREY",
"middle_name": "LANE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "NH1867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30005276",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stratham, NH
- Jacqueline Smith, MS, CCC-SLP
- Elizabeth Snow, MS,OTR-L
- Jennifer Spence Snow, M.ED., CCC-SLP
- Patricia Susan Spear, MS OTR-L
- Janice Steinberg, MA, OTR-L
- Joann B Stich, NP-C
- Ryan Fitzpatrick Strasser, PA-C
- Stratham Anesthesia Associates PLLC
- Stratham Family Dental Associates, PLLC
- Stratham Family Eyecare, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.