Jeffery Purk, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7566 Issued in IA

Practice address

4405 SW 9TH St
Des Moines, IA 50315-3909

Phone

(515) 287-3588

Fax

(515) 287-7614

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083827117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503153909",
            "telephone_number": "515-287-3588",
            "fax_number": "515-287-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503153909",
            "telephone_number": "515-287-3588",
            "fax_number": "515-287-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURK",
        "first_name": "JEFFERY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natdanai Punnanithinont, MD, MPH
• Shelby Purcell, LMSW
• Bryan Michael Purdy, M.D.
• Pure Hands LLC
• Mark S Puricelli, DO
• Rebecca Lynn Purnell, PA-C
• McColm Thai Dien Pursell, ATC
• Mark W Purtle, MD
• Leann Carolyn Putz, BSN RN
• Priscilla M. Putzier, D.O.

• General Practice Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.