Jason Kingsolver

Primary specialty

DentistTaxonomy code 122300000X

License

2015016756 Issued in MO

Practice address

821 Westwood Dr
Sedalia, MO 65301-2102

Phone

(660) 826-4774

Fax

(660) 826-1300

NPI assigned

Jun 23, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (5 of 9)

Locations

Networks

• IA HMO C-SNP
• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ABBJBD/Endpoint/ABBJBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regional Health Care Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Sedalia, MO
  • NPI 1922057504

  MO

  Medicare reassignment NPD
• Ridgeview Family Dental R McKell Young DMD PC

  • General Practice Dentistry
  • Warrensburg, MO
  • NPI 1407571516
  NPD Authorized official
• Regional Health Care Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Warsaw, MO
  • NPI 1053533539
  NPD
• Regional Health Care Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Warsaw, MO
  • NPI 1629797196
  NPD
• Ridgeview Family Dental Warrensburg, PLLC

  • Dental Clinic/Center
  • Warrensburg, MO
  • NPI 1053182295
  NPD

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1013399351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653013821",
            "telephone_number": "660-310-0909",
            "fax_number": "888-979-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 WESTWOOD DR",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012102",
            "telephone_number": "660-826-4774",
            "fax_number": "660-826-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSOLVER",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2015016756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin K.E. Carl, O.D.
• Connie E Kiburz, CRNA
• Douglas W Kiburz, MD
• Michelle Ann Kindler, O.D.
• Richard King, D.C.
• Jirita Nate' Kinsey, BCBA
• KKL, Inc.
• Ashley Elizabeth Klein, PT
• Barbara Louise Knight, OD
• Marsha Jane Kranichfield, LCSW

• All providers in Sedalia, MO
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.