Dustin Joseph Demarest, MBA

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

1306 Wisconsin Cir
Ames, IA 50014-3974

Phone

(515) 203-1152

NPI assigned

Oct 21, 2012

Last updated

Oct 21, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

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

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350777600000",
    "number": "1740533231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 WISCONSIN CIR",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500143974",
            "telephone_number": "515-203-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 WISCONSIN CIR",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500143974",
            "telephone_number": "515-203-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAREST",
        "first_name": "DUSTIN",
        "middle_name": "JOSEPH",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-21",
        "last_updated": "2012-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheri Lynn Degroot
• Eugene R Deisinger, PH.D.
• Mark Allen Dejong
• Jessica Delgado, LMSW
• Carlie Dellmann
• Leah Demarest
• Robert Dennis
• Dentistry at Somerset, LLP
• Mercedes Ann Depyper, BS
• Taylor Janelle Devine, CF-SLP

• Contractor in Ames, IA
• Providers in Ames, IA by specialty
• Contractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2012; 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.