Organization Active NPI

Star Jammerz Inc

  • Early Intervention Provider Agency
  • Des Moines, IA
National Provider Identifier
1568908341
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
STAR JAMMERZ INC
Practice address
2340 Euclid Ave
Des Moines, IA 50310-5702
Phone
(515) 263-0019
Fax
(515) 263-0048
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Mr. Edward Jerome Thompson Sr., BA
Title
Ceo
Phone
(515) 263-0019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

2340 Euclid Ave
Des Moines, IA 50310-5702

Mailing address

2340 Euclid Ave
Des Moines, IA 50310-5702
Phone (515) 263-0019

National Provider Directory

National Provider Directory

Locations

2340 Euclid Ave
Des Moines, IA 50310
Phone (515) 235-5224

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1568908341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105702",
            "telephone_number": "515-263-0019",
            "fax_number": "515-263-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105702",
            "telephone_number": "515-263-0019",
            "fax_number": "515-263-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR JAMMERZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-263-0019",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "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 Jan 17, 2017; 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.