Organization Active NPI

Smiles in Motion, P.C.

  • Pediatric Dentistry
  • Marshalltown, IA
National Provider Identifier
1649344649
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
08055 Issued in IA
Legal business name
SMILES IN MOTION, P.C.
Practice address
207 E Church St
Suite #3
Marshalltown, IA 50158-2972
Phone
(641) 752-9550
Fax
(641) 752-9517
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Stufflebeam, D.D.SNPI 1700950722
Title
President
Phone
(641) 752-9550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 08055 IA Primary

Addresses

Primary practice location

207 E Church St
Suite #3
Marshalltown, IA 50158-2972

Mailing address

207 E Church St
Suite #3
Marshalltown, IA 50158-2972
Phone (641) 752-9550

Other identifiers 1

IdentifierTypeStateIssuer
0264416MedicaidIA

National Provider Directory

National Provider Directory

Locations

207 E Church St
Ste 3
Marshalltown, IA 50158
Phone (641) 752-9550

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649344649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E CHURCH ST",
            "address_2": "SUITE #3",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582972",
            "telephone_number": "641-752-9550",
            "fax_number": "641-752-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E CHURCH ST",
            "address_2": "SUITE #3",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582972",
            "telephone_number": "641-752-9550",
            "fax_number": "641-752-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES IN MOTION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUFFLEBEAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-752-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "08055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0264416",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.