James L Samples DDS ,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11650 Issued in MO

Legal business name

JAMES L SAMPLES DDS ,PC

Practice address

1411A N Jefferson St
Carrollton, MO 64633-1945

Phone

(660) 542-1653

NPI assigned

Dec 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Lee Samples, DDSNPI 1669430997

Title

Owner

Phone

(660) 542-1653

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James L Samples, D.D.S.

  • Dentist
  • Carrollton, MO
  • NPI 1669430997
  NPD (past) Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104987841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WALNUT DR",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331376",
            "telephone_number": "660-542-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411A N JEFFERSON ST",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331945",
            "telephone_number": "660-542-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L SAMPLES DDS ,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMPLES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-542-1653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "11650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Renee Hendrix, FNP
• Andrew Douglas Horine, D.O.
• Tiffany M Horst
• Gregory William Hubbard, D.O.
• Angela Imgarten, D.C.
• Jefferson Medical Group
• Jefferson Medical Group
• Donald Leroy Kampschmidt, M.D.
• Stefanie Leann Kissick, LCSW
• Gay Lynn Korff

• General Practice Dentistry in Carrollton, MO
• Providers in Carrollton, 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 Aug 22, 2020; 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.