Stanley Charles Bunsick, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

MO D12484 Issued in MO

Practice address

106 4 Seasons Shopping Ctr
Suite108
Chesterfield, MO 63017-3173

Phone

(314) 469-0964

Fax

(314) 469-6080

NPI assigned

Dec 15, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285796169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 4 SEASONS SHOPPING CTR",
            "address_2": "SUITE108",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173173",
            "telephone_number": "314-469-0964",
            "fax_number": "314-469-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 4 SEASONS SHOPPING CTR",
            "address_2": "SUITE108",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173173",
            "telephone_number": "314-469-0964",
            "fax_number": "314-469-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNSICK",
        "first_name": "STANLEY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "MO D12484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew S Buelow, DPT
• Natalie E Bueltmann, NP-C
• Haskel John Buford, MPH, LAT, ATC
• Rebecca K Bullivant, MD
• Krista Marie Bunch
• Michelle Erin Burk, WHNP
• Paul E. Burk, D.O.
• Brittany A Burke, LCSW
• Ryan John Burke, PHARMD
• Emalie Jane Burks, PHARMD

• Orthodontics and Dentofacial Orthopedics Dentistry in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.