KIP MICHAEL-DAVID FRITZ STERLING D.D.S.
NPI 1750778072
Dentist - Endodontics in Logan, UT

Active since April 24, 2015Opted out of Medicare · through Sep 20, 2027
150 E 200 N STE G, LOGAN, UT 84321(435) 753-7668 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kip Michael-david Fritz Sterling D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIP MICHAEL-DAVID FRITZ STERLING D.D.S. (NPI 1750778072) is an individual endodontics provider in Logan, Utah, licensed in Utah (11897186-9922) and active in the NPI registry since April 2015. He has opted out of Medicare through September 20, 2027.

NPPES Registry Identity

NPI1750778072
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameKIP MICHAEL-DAVID FRITZ STERLINGCredential: D.D.S.
Location Address150 E 200 N STE GLogan, UT 84321-4036
Mailing Address150 E 200 N Ste GLogan, UT 84321-4036 · (435) 753-7668
Sole ProprietorNo
Enumeration DateApril 24, 2015
Last NPPES UpdateMay 24, 2021
NPPES CertifiedMay 13, 2021
NPI 1750778072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses Licensed in UT · 11897186-9922 Licensed in AZ · 9177
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
150 E 200 N STE G, Logan, UT 84321

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kip Michael-david Fritz Sterling D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 20, 2021 through September 20, 2027.

Opt-Out Effective DateSeptember 20, 2021
Opt-Out In Effect ThroughSeptember 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
150 E 200 N STE G
LOGAN, UT 84321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kip Sterling's NPI number?

The NPI number for Kip Sterling is 1750778072. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Where is Kip Sterling located?

Kip Sterling practices at 150 E 200 N Ste G, Logan, UT 84321. The listed phone number is (435) 753-7668.

What is Kip Sterling's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Kip Sterling enrolled in Medicare?

No. Kip Sterling has opted out of Medicare through September 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kip Sterling accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 7 other insurers list Kip Sterling as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kip Sterling was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.