Active NPI
Justine Stemper, D.D.S.
- General Practice Dentistry
- Urbandale, IA
National Provider Identifier
1467867671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS-09112
- Practice address
- 8573 Urbandale Ave
Urbandale, IA 50322-4108 - Phone
- (515) 279-3848
- NPI assigned
- Jun 25, 2014
- Last updated
- Jun 25, 2014
- Sex
- Female
- Sole proprietor
- No
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 | DDS-09112 | IA | Primary |
Addresses
Primary practice location
8573 Urbandale Ave
Urbandale, IA 50322-4108
Mailing address
8573 Urbandale Ave
Urbandale, IA 50322-4108
Phone (515) 279-3848
Other names 1
- Miss Justine Carroll
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170126000669 | IA | Order and Referring Only - Dentist | 4688985666 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-09112 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davidson Family Dentistry, LLC | Past | Accepting new patients | |
| Davidson Family Dentistry | General Practice | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Urbandale, IA
- NPI 1497973960
-
- Dental Clinic/Center
- Urbandale, IA
- NPI 1164928388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1467867671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8573 URBANDALE AVE",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503224108",
"telephone_number": "515-279-3848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8573 URBANDALE AVE",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503224108",
"telephone_number": "515-279-3848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEMPER",
"first_name": "JUSTINE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "DDS-09112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUSTINE",
"last_name": "CARROLL",
"prefix": "MISS",
"credential": "B.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.