Individual provider Active NPI

Kami L Ross, DDS

  • General Practice Dentistry
  • Overland Park, KS
National Provider Identifier
1386732071
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60119 Issued in KS
Practice address
6700 W 121St St Ste 104
Overland Park, KS 66209-2028
Phone
(913) 851-8400
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60119 KS Primary

Addresses

Primary practice location

6700 W 121St St Ste 104
Overland Park, KS 66209-2028

Mailing address

6700 W 121St St Ste 104
Overland Park, KS 66209-2028
Phone (913) 851-8400

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
60119KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kami Ross DDS LLC General Practice CurrentSince Oct 11, 2020 Accepting new patients
Karl a Breuckmann DDS & Kami L Ross DDS PA General Practice Past Accepting new patients

Locations

6700 W 121st St
Ste 104
Overland Park, KS 66209
Phone (913) 649-3313

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1386732071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 W 121ST ST STE 104",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092028",
            "telephone_number": "913-851-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W 121ST ST STE 104",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092028",
            "telephone_number": "913-851-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KAMI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 5, 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.