Active NPI
Sheila R Jungmeyer, DDS
- Dentist
- Lees Summit, MO
National Provider Identifier
1467567396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 015546
- Practice address
- 246 NE Tudor Rd
Lees Summit, MO 64086-5696 - Phone
- (816) 554-1600
- Fax
- (816) 554-2798
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 015546 | MO | Primary |
Addresses
Primary practice location
246 NE Tudor Rd
Lees Summit, MO 64086-5696
Mailing address
246 NE Tudor Rd
Lees Summit, MO 64086-5696
Phone (816) 554-1600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 015546 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jungmeyer & Suresh Dental Enterprises LLC | Dentist | Past | Accepting new patients |
| Sheila R Jungmeyer DDS,PC | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Lees Summit, MO
- NPI 1306211586
-
- Dentist
- Lees Summit, MO
- NPI 1508207697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467567396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 NE TUDOR RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640865696",
"telephone_number": "816-554-1600",
"fax_number": "816-554-2798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 NE TUDOR RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640865696",
"telephone_number": "816-554-1600",
"fax_number": "816-554-2798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNGMEYER",
"first_name": "SHEILA",
"middle_name": "R",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "015546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.