JAMES T STORK (NPI# 1194989624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194989624 |
| Entity Type | Individual |
| Full Name | JAMES T STORK |
| Credential | DDS, MS |
| Practice Address |
4090 Westown Pkwy Ste 101 West Des Moines IA 50266-6760 |
| Practice Telephone | 5152254310 |
| Practice Fax Number | 8662595317 |
| Mailing Telephone | 5152254310 |
| Mailing Fax Number | 8662595317 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2012-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2011016146 | MO | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
08892 | IA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D12580 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 |
| Street Address |
4090 WESTOWN PKWY STE 101 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-6760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786033 | Michael Johnson | Dentist | 5429 Boulder Dr, West Des Moines, IA 50266-7260 | 2017-05-03 |
| 1205019296 | Drs Kommer and Sturdivant PC | Dentist | 125 Valley West Drive, West Des Moines, IA 50265-3939 | 2007-12-12 |
| 1881712305 | Melissa K. Bernhardt | Dentist | 9295 Bishop Drive, Suite 120, West Des Moines, IA 50266 | 2007-03-26 |
| 1265518450 | Jeffrey J Sturdivant | Dentist | 125 Valley West Dr, West Des Moines, IA 50265-3939 | 2006-10-31 |
| 1851944052 | Nadia Hameed | Dentist | 4949 Westown Pkwy Ste 150, West Des Moines, IA 50266-6716 | 2019-07-17 |
| 1144488370 | Drs. Mcgarvey & Welge, PC | Dentist | 1200 Valley West Dr, Suite 203, West Des Moines, IA 50266-1908 | 2008-05-23 |
| 1982862116 | Brian F Mcgarvey | Dentist | 1200 Valley West Dr, Suite 203, West Des Moines, IA 50266-1908 | 2008-05-23 |
| 1538327762 | Marc S Welge | Dentist | 1200 Valley West Dr, Suite 203, West Des Moines, IA 50266-1908 | 2008-05-23 |
| 1457541740 | Bernhardt & Smith Orthodontics, PC | Dentist | 9295 Bishop Drive, Suite 120, West Des Moines, IA 50266 | 2007-08-01 |
| 1043423395 | Kyle Robert Mann | Dentist | 125 Valley West Dr, West Des Moines, IA 50265-3939 | 2007-05-07 |
| Find all providers in WEST DES MOINES | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.