Perrin Saville Jungbluth, D.D.S., M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

015997 Issued in MO

Practice address

3904 Beck Rd Ste 150
Saint Joseph, MO 64506-5037

Phone

(816) 279-3338

Fax

(813) 279-3339

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

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.

• Northwest Missouri Oral & Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Joseph, MO
  • NPI 1154485613
  NPD (past)
• Robert C. Paolillo,Ddspc

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Joseph, MO
  • NPI 1417058926
  NPD (past)
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1104887439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 BECK RD STE 150",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645065037",
            "telephone_number": "816-279-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 BECK RD STE 150",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645065037",
            "telephone_number": "816-279-3338",
            "fax_number": "813-279-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGBLUTH",
        "first_name": "PERRIN",
        "middle_name": "SAVILLE",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "015997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lysbeth Jane Jordan, MOT OTR/L
• Jeffrin Joseph
• Beulah Joshua
• Holden Jackson Joynes, STUDENT
• Julie Odonnell PHD LLC
• James J Jura, M.D.
• Asad Waseem Kabir, MD
• Sydni Marie Kaden, MS, LAT, ATC
• Kindel J. Kaelke, D.D.S.
• Kai Ezell DDS LLC

• Oral and Maxillofacial Surgery (Dentist) in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.