Rubelita James, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15034 Issued in MO

Practice address

9500 E 63Rd St
Ste #103
Raytown, MO 64133-4956

Phone

(816) 737-1110

Fax

(816) 356-9005

NPI assigned

Sep 8, 2006

Sex

Female

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

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.

• Personal Care Dental Group LLC

  • General Practice Dentistry
  • Raytown, MO
  • NPI 1861576902
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023112380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 E 63RD ST",
            "address_2": "STE #103",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334956",
            "telephone_number": "816-737-1110",
            "fax_number": "816-356-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 E 63RD ST",
            "address_2": "STE #103",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334956",
            "telephone_number": "816-737-1110",
            "fax_number": "816-356-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "RUBELITA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "15034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Pharmaceutical Services Inc.
• Francisco Javier Inzunza Santiago
• Anne Elizabeth Isinger, DDS
• Rose Iyewarun, PHD
• Donica Chivon Jackson, CPTA
• Jeffrey L. Nixon L.L.C.
• Jessica Lane Re, LLC
• Callie Rae Johnson
• Dorothy V Johnson, RNC,MSN,ANP
• Laura E Johnson

• General Practice Dentistry in Raytown, MO
• Providers in Raytown, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.