Individual provider Active NPI

Jemar Conard Stanton

  • Driver
  • Des Moines, IA
National Provider Identifier
1265336143
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
331KK3859 Issued in IA
Practice address
2117 SW 9TH St
Des Moines, IA 50315-1506
Phone
(515) 343-0879
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 331KK3859 IA Primary

Addresses

Primary practice location

2117 SW 9TH St
Des Moines, IA 50315-1506

Mailing address

2117 SW 9TH St
Des Moines, IA 50315-1506
Phone (515) 343-0879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1265336143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503151506",
            "telephone_number": "515-343-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503151506",
            "telephone_number": "515-343-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "JEMAR",
        "middle_name": "CONARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IA",
            "license": "331KK3859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.