Organization Active NPI

Comfort Dental Lees Summit

  • General Practice Dentistry
  • Lee's Summit, MO
National Provider Identifier
1386219160
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMFORT DENTAL LEES SUMMIT
Practice address
1153 NE Rice Rd
Lees Summit, MO 64086-6788
Phone
(816) 477-7070
Fax
(816) 477-7088
NPI assigned
May 24, 2021
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Dr. Jessica Christine Ellis, DDSNPI 1639430440
Title
General Dentist/Partner
Phone
(816) 521-1312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1153 NE Rice Rd
Lees Summit, MO 64086-6788

Mailing address

1221 NE Beacon Ave
Lees Summit, MO 64086-8454
Phone (816) 521-1312

National Provider Directory

National Provider Directory

Locations

1153 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 447-7070

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1386219160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 NE BEACON AVE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640868454",
            "telephone_number": "816-521-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866788",
            "telephone_number": "816-477-7070",
            "fax_number": "816-477-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL LEES SUMMIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "GENERAL DENTIST/PARTNER",
        "authorized_official_telephone_number": "816-521-1312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.