Active NPI
Jamie Nicole Ball, DDS
- Endodontics
- Lee's Summit, MO
National Provider Identifier
1013446665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2017017883
- Practice address
- 1218 NE Windsor Dr
Lees Summit, MO 64086-5594 - Phone
- (816) 554-7668
- NPI assigned
- Jun 7, 2017
- Last updated
- May 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2017017883 | MO | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Endodontics Missouri LLC | Endodontics | Past | 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.
-
- Endodontics
- Lee's Summit, MO
- NPI 1295116234
-
- General Practice Dentistry
- Independence, MO
- NPI 1407205099
-
- Dental Clinic/Center
- Independence, MO
- NPI 1871730952
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.