John G Stanley, M.D., D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1983 Issued in ND

Practice address

2331 Tyler Pkwy
Suite 4
Bismarck, ND 58503-0871

Phone

(701) 255-4000

Fax

(701) 255-1992

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

Wayne State University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Facial Surgeons PCGroup PAC ID 8325124282, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Alexius Health Hospital, Bismarck, ND, CCN 350002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northern Facial Surgeons, P.C.

  • Ambulatory Surgical Clinic/Center
  • Bismarck, ND
  • NPI 1427226125
  Medicare reassignment Care Compare group
• Phillip T. Iero, M.D.,D.D.S., PC

  dba Institute of Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Bismarck, ND
  • NPI 1588697015
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Alexius Medical Center

  dba CHI St. Alexius Health

  • General Acute Care Hospital
  • Bismarck, ND
  • NPI 1306832654
  Care Compare affiliation

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1285670067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 TYLER PKWY",
            "address_2": "SUITE 4",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030871",
            "telephone_number": "701-255-4000",
            "fax_number": "701-255-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 TYLER PKWY",
            "address_2": "SUITE 4",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030871",
            "telephone_number": "701-255-4000",
            "fax_number": "701-255-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D., D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ND",
            "license": "1983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41386",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13935",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nigeria M Stahl, MD
• Joshua J Staiger, CRNA
• Catherine Elizabeth Staloch, PT
• Coleen Staloch, PA
• Megan Stamstad, PT, DPT
• Miranda Dawn Stanley, FNP
• Bears Star
• Noribelle Starck
• Lyndsey Staskywicz, PHARMD
• Kayla Stastny

• Oral and Maxillofacial Surgery (Dentist) in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.