Individual provider Active NPI

Jaime Christine Stinnett, D.D.S

  • Dentist
  • Overland Park, KS
National Provider Identifier
1053587931
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60569 Issued in KS
Practice address
6500 W 95TH St
Overland Park, KS 66212-1435
Phone
(913) 649-0166
Fax
(913) 649-4274
NPI assigned
May 1, 2008
Last updated
Jul 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2006017468 MO
Dentist 122300000X 60569 KS Primary

Addresses

Primary practice location

6500 W 95TH St
Overland Park, KS 66212-1435

Mailing address

6500 W 95TH St
Overland Park, KS 66212-1435
Phone (913) 649-0166

Other names 1

  • Dr. Jaime Christine Jaax Former name

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
60569KSMDDentist
2006017468MOMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1053587931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121435",
            "telephone_number": "913-649-0166",
            "fax_number": "913-649-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121435",
            "telephone_number": "913-649-0166",
            "fax_number": "913-649-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINNETT",
        "first_name": "JAIME",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2006017468",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "JAAX",
            "middle_name": "CHRISTINE",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.