Jamie Lynn Place, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2011017533 Issued in MO

Practice address

3001 Even
Joplin, MO 64804-9109

Phone

(573) 356-3055

Fax

(573) 356-3055

NPI assigned

Jun 24, 2011

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

Other names 1

• Jamie Lynn Waltman Former name

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

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1154617447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EVEN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648049109",
            "telephone_number": "573-356-3055",
            "fax_number": "573-356-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EVEN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648049109",
            "telephone_number": "573-356-3055",
            "fax_number": "573-356-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACE",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2011017533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "WALTMAN",
            "middle_name": "LYNN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Pittman
• Susan Pittman, RD,LD,CDE
• Ona C Pitts, RN
• Susan Annette Pitts, D.O.
• Davisai Pizarro
• Nancy Plinsky-Mollnow, CRNA
• Amber Ponder
• Bradley A Pontani, M.D.
• Neal R. Popichak, CRNA
• Karen Lynn Porte, MD.

• Dentist in Joplin, MO
• Providers in Joplin, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.