Jeffrey J Stasch

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

6077 Issued in KS

Legal business name

JEFFREY J STASCH

Practice address

1812 E Mary St
Garden City, KS 67846-3652

Phone

(620) 275-4782

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Jeffrey J Stasch, DDSNPI 1801882832

Title

Owner

Phone

(620) 275-4782

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey J Stasch, DDS

  • General Practice Dentistry
  • Garden City, KS
  • NPI 1801882832
  NPD (past) Authorized official
• James Patrick Lucero, D.D.S.

  • General Practice Dentistry
  • Garden City, KS
  • NPI 1750386025
  NPD (past)

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1619416120",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1812 E MARY ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "602-275-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 E MARY ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463652",
            "telephone_number": "620-275-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J STASCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "STASCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-275-4782",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KS",
            "license": "6077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jumailiana Iwan
• Michael D Jackson, M.D.
• Noreene A Jaeger, ARNP
• Jake M Juhl DDS
• Jay Keltner, D.D.D. P.a.
• Joanne D. Rink M.D., L.L.C.
• Matthew E Johannes, OD
• Lanie Rose Johnson, FNP-C
• Jake M. Juhl, DDS
• Kandee K Klein DDS PA

• Customized Equipment (DME) in Garden City, KS
• Providers in Garden City, KS by specialty
• Customized Equipment (DME) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.