Active NPI
Sheldon Tate Stender, DDS
- General Practice Dentistry
- Des Moines, IA
National Provider Identifier
1386253839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS09782
- Practice address
- 5706 Hickman Rd
Des Moines, IA 50310-1121 - Phone
- (515) 318-7248
- NPI assigned
- Jul 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS09782 | IA | Primary |
Addresses
Primary practice location
5706 Hickman Rd
Des Moines, IA 50310-1121
Mailing address
2345 Mulberry St Unit 3
Coralville, IA 52241-3385
Other practice location 1
108 Main St NE
Bondurant, IA 50035-7722
Phone (515) 967-4002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS09782 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimball & Beecher Group LLC | General Practice | Current | Accepting new patients |
| Bondurant Dental Center | Past | Accepting new patients |
Locations
108 Main St NE
Bondurant, IA 50035
Phone (515) 321-7368
Organizations & group practices 2
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.
-
dba Kimball and Beecher Bondurant
- General Practice Dentistry
- Bondurant, IA
- NPI 1881481687
-
dba Bondurant Family Dentistry
- Dental Clinic/Center
- Bondurant, IA
- NPI 1164920286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1386253839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 MULBERRY ST UNIT 3",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522413385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5706 HICKMAN RD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503101121",
"telephone_number": "515-318-7248"
}
],
"practiceLocations": [
{
"address_1": "108 Main St NE",
"address_purpose": "LOCATION",
"city": "Bondurant",
"state": "IA",
"postal_code": "500357722",
"country_code": "US",
"telephone_number": "515-967-4002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STENDER",
"first_name": "SHELDON",
"middle_name": "TATE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-29",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "DDS09782",
"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 Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.