Organization Active NPI

Stark Smiles

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ames, IA
National Provider Identifier
1891538484
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
STARK SMILES
Practice address
1212 Duff Ave Ste 201
Ames, IA 50010-5467
Phone
(515) 232-2255
Fax
(515) 233-9527
NPI assigned
Jun 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Chasity Klink
Title
Business Manager
Phone
(515) 232-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1212 Duff Ave Ste 201
Ames, IA 50010-5467

Mailing address

1212 Duff Ave Ste 201
Ames, IA 50010-5467
Phone (515) 232-2255

National Provider Directory

National Provider Directory

Locations

1212 Duff Ave
Ste 201
Ames, IA 50010
Phone (515) 232-2255

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": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1891538484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 DUFF AVE STE 201",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105467",
            "telephone_number": "515-232-2255",
            "fax_number": "515-233-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 DUFF AVE STE 201",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105467",
            "telephone_number": "515-232-2255",
            "fax_number": "515-233-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "KLINK",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "515-232-2255"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.