DR. JOHN G STANLEY (NPI# 1285670067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285670067 |
| Entity Type | Individual |
| Full Name | DR. JOHN G STANLEY |
| Credential | M.D., D.M.D. |
| Practice Address |
2331 Tyler Pkwy Suite 4 Bismarck ND 58503-0871 |
| Practice Telephone | 7012554000 |
| Practice Fax Number | 7012551992 |
| Mailing Telephone | 7012554000 |
| Mailing Fax Number | 7012551992 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2009-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1983 | ND | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 13935 | 05 | |
| ND | 41386 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093021453 | John Clifford Stanley | Licensed Practical Nurse | 513 High Street, Pleasant City, OH 43772 | 2010-08-24 |
| 1750454807 | John H Stanley | Family Medicine | 105 Spruce Street, Drawer B, Woodland, NC 27897-0447 | 2006-11-16 |
| 1659397677 | John Robert Stanley IIi | Obstetrics & Gynecology | 4140 W. Memorial Rd, Ste 321, Oklahoma City, OK 73120-8300 | 2006-07-14 |
| 1710982525 | John M Stanley | Family Medicine | 1007 N Pope St, Hms Community Health Center, Silver City, NM 88061-5161 | 2005-06-17 |
| 1326041187 | John Stanley | Radiology | 36561 Harper Ave, Clinton Twp, MI 48035-2012 | 2005-05-24 |
| 1265674030 | John Staples Stanley | Social Worker | 174 Concord Street, Strand Building, Peterborough, NH 03458 | 2009-03-25 |
| 1922247063 | John Walter Stanley | Nurse Anesthetist, Certified Registered | 5555 Ponce De Leon Blvd, Miami, FL 33146-6858 | 2009-02-12 |
| 1508044454 | John Joseph Stanley | Social Worker | 600 42nd St, Des Moines, IA 50312-2701 | 2008-02-02 |
| 1558434555 | John David Stanley | Dentist | 2600 Bell Rd, Montgomery, AL 36117-4375 | 2006-11-16 |
| 1235247099 | John P. Stanley | Nurse Practitioner | 910 Realtor Ave, Texarkana, AR 71854-1020 | 2006-08-29 |
| Street Address |
2331 TYLER PKWY SUITE 4 |
| City | BISMARCK |
| State | ND |
| Zip Code | 58503-0871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477089126 | Bismarck Sinus Center | Clinic/Center | 2331 Tyler Pkwy, Suite 5, Bismarck, ND 58503-0871 | 2017-05-02 |
| 1093029076 | Miranda Dawn Stanley | Nurse Practitioner | 2331 Tyler Pkwy, Suite 4, Bismarck, ND 58503-0871 | 2010-08-02 |
| 1427226125 | Northern Facial Surgeons, P.C. | Clinic/Center | 2331 Tyler Pkwy, Suite 4, Bismarck, ND 58503-0871 | 2008-02-15 |
| 1578755757 | Eve L. Kostelecky | Optometrist | 2331 Tyler Pkwy, Suite 2, Bismarck, ND 58503-0871 | 2007-08-13 |
| 1679631477 | Eyes On Parkway PC | Durable Medical Equipment & Medical Supplies | 2331 Tyler Pkwy, Suite 2, Bismarck, ND 58503-0871 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951503 | Community Options for Residential and Employment Services, Inc | Community/Behavioral Health | 4909 Shelburne St, Bismarck, ND 58503 | 2020-08-03 |
| 1104460476 | Brittany Lee Feil | Registered Nurse | 808 N Washington St., Bismarck, ND 58503 | 2019-10-30 |
| 1760030670 | Rachel Lees | Technician | 1727 Valley Drive, Bismark, ND 58503 | 2019-09-04 |
| 1700444619 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 807 East Main Suite A, Bismarck, ND 58503 | 2019-06-05 |
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1104347137 | Adapt, Inc. | Counselor | 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 | 2017-06-29 |
| 1679010953 | Optimum Therapies of North Dakota, Inc | Physical Therapist | 4204 Boulder Ridge Rd, Suite 100, Bismarck, ND 58503 | 2017-01-25 |
| 1972954162 | Ava Burckhard | Speech-Language Pathologist | 4501 Coleman St N Suite #103, Pediatric Therapy Partners, Bismarck, ND 58503 | 2016-06-29 |
| 1306292842 | Margaret Williams | Nurse Practitioner | 4315 Ottawa St, Bismarck, ND 58503 | 2016-05-13 |
| 1649638958 | Horizon Chiropractic & Wellness PC | Chiropractor | 4535 Northern Sky Dr., Bismarck, ND 58503 | 2016-02-01 |
| Find all providers in zip 58503 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477723591 | Oral Surgery Center of Bismarck, PC | Dentist | 3117 N 14th St, Bismarck, ND 58503-0664 | 2008-03-04 |
| 1588697015 | Phillip T. Iero, M.d.,d.d.s., PC | Dentist | 416 N 6th St, Bismarck, ND 58501-4416 | 2006-07-08 |
| 1184667305 | Face and Jaw Surgeons PC | Dentist | 1140 W Capitol Ave, Bismarck, ND 58501-9956 | 2006-06-14 |
| 1003859117 | Joseph Richard Deatherage | Dentist | 1730 Burnt Boat Dr Ste 300, Bismarck, ND 58503-0886 | 2006-06-14 |
| 1003859224 | Gerard F Koorbusch | Dentist | 1140 W Capitol Ave, Bismarck, ND 58501-9956 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1649816828 | Dr. Jeremiah J. Glosenger, PC | Dentist | 2615 Elk Dr Ste 3, Minot, ND 58701-1200 | 2019-11-21 |
| 1255759650 | Implant&maxillofacial Surgical Center | Dentist | 2224 1st Ave W Ste 2, Williston, ND 58801-6286 | 2014-04-02 |
| 1457420564 | Face and Jaw Surgeons PC | Dentist | 2845 36 Ave South, Grand Forks, ND 58201-6747 | 2006-11-06 |
| 1073697157 | Troy R Petersen | Dentist | 1165c South Columbia Road, Grand Forks, ND 58201-4007 | 2006-10-25 |
| 1790889152 | Rudy J Schneider | Dentist | 3187 Blue Stem Dr Ste 4, West Fargo, ND 58078-8008 | 2006-09-07 |
| 1245272277 | Trinity Health | Dentist | 2815 16th St Sw Ste 100, Minot, ND 58701-6916 | 2006-06-12 |
| 1538147848 | Michael J Noffze | Dentist | 2856 Brandt Dr S, Fargo, ND 58104-8805 | 2006-01-06 |
| 1770584500 | John Tennis Keaveny | Dentist | 669 12th St W, Suite 2, Dickinson, ND 58601-3554 | 2005-08-02 |
| 1295739233 | Edward Francis May | Dentist | 2585 23rd Ave S, Ste A., Fargo, ND 58103 | 2005-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.