NPIMap

Organization Active NPI

DRS Kommer and Sturdivant PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Des Moines, IA
National Provider Identifier
1205019296
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DRS KOMMER AND STURDIVANT PC
Practice address
125 Valley West Drive
West Des Moines, IA 50265-3939
Phone
(515) 225-9245
Fax
(515) 225-8162
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. Dennis D Kommer, DDS MSNPI 1174609366
Title
Orthodontist
Phone
(515) 225-9245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X IA Primary

Addresses

Primary practice location

125 Valley West Drive
West Des Moines, IA 50265-3939

Mailing address

125 Valley West Drive
West Des Moines, IA 50265-3939
Phone (515) 225-9245

Other identifiers 2

IdentifierTypeStateIssuer
0115758MedicaidIA
0081489MedicaidIA

National Provider Directory

National Provider Directory

Locations

105 Valley West Dr
Ste 200
West Des Moines, IA 50265
Phone (515) 225-9245

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1205019296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 VALLEY WEST DRIVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653939",
            "telephone_number": "515-225-9245",
            "fax_number": "515-225-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 VALLEY WEST DRIVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653939",
            "telephone_number": "515-225-9245",
            "fax_number": "515-225-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS KOMMER AND STURDIVANT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "KOMMER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "515-225-9245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115758",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081489",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.