Frederick Stark, DDS
NPI 1699901595 · General Practice Dentistry · Derby, KS
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Frederick Stark, DDS is a General Practice Dentistry provider in Derby, KS (NPI 1699901595).
Provider details
- NPI number
- 1699901595
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 60680 (KS)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-05
- Last updated
- 2019-01-03
Frequently asked questions
- What is Frederick Stark's NPI number?
- Frederick Stark's National Provider Identifier (NPI) is 1699901595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Frederick Stark's specialty?
- Frederick Stark is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Frederick Stark located?
- Frederick Stark's practice location on file with NPPES is 1710 E Madison Ave Ste 600, Derby, KS 67037-2285.
- What is Frederick Stark's phone number?
- The practice phone number listed in the NPPES registry for Frederick Stark is (316) 788-4000.
- Does Frederick Stark accept Medicare?
- Frederick Stark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Frederick Stark's NPI active?
- Yes — Frederick Stark's NPI (1699901595) is active in the NPPES registry as of the last update on 2019-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.