Individual provider Active NPI

Jamie Nicole Ball, DDS

  • Endodontics
  • Lee's Summit, MO
National Provider Identifier
1013446665
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2017017883 Issued in MO
Practice address
1218 NE Windsor Dr
Lees Summit, MO 64086-5594
Phone
(816) 554-7668
NPI assigned
Jun 7, 2017
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2017017883 MO Primary

Addresses

Primary practice location

1218 NE Windsor Dr
Lees Summit, MO 64086-5594

Mailing address

3875 Thompson St
Kansas City, KS 66103-3171
Phone (785) 259-5799

Other practice location 1

4601 W 109th St Ste 250
Overland Park, KS 66211-1314
Phone (913) 498-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2017017883MOMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Endodontics Missouri LLC Endodontics PastSince May 25, 2021 Accepting new patients
Dental Care Independence Past Accepting new patients
Noland Road Dental, LLC Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1013446665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 THOMPSON ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661033171",
            "telephone_number": "785-259-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 NE WINDSOR DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865594",
            "telephone_number": "816-554-7668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 W 109th St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111314",
            "country_code": "US",
            "telephone_number": "913-498-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "JAMIE",
        "middle_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MO",
            "license": "2017017883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.