Individual provider Active NPI

Stephen Jerome Sterlitz, DDS

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1992790885
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10663 Issued in KY
Practice address
800 Rose Street
First Floor
Lexington, KY 40536
Phone
(859) 323-5831
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901018601 MI
General Practice Dentistry 1223G0001X 10663 KY Primary

Addresses

Primary practice location

800 Rose Street
First Floor
Lexington, KY 40536

Mailing address

800 Rose Street
University of Ky College of Dentistry
Lexington, KY 40536
Phone (859) 323-3368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20210716000629 KY Practitioner - Dentist 2062814767 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901018601MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky General Practice CurrentSince Jun 25, 2021 Accepting new patients
University of Kentucky CurrentSince Jun 25, 2021 Accepting new patients

Locations

800 Rose St
Fl First
Lexington, KY 40536
Phone (859) 323-5661

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1992790885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET",
            "address_2": "UNIVERSITY OF KY COLLEGE OF DENTISTRY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40536",
            "telephone_number": "859-323-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET",
            "address_2": "FIRST FLOOR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40536",
            "telephone_number": "859-323-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERLITZ",
        "first_name": "STEPHEN",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018601",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.