Jessica Niederee, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

61005 Issued in KS

Practice address

5517 Foxridge Dr
Mission, KS 66202-1556

Phone

(913) 262-3838

Fax

(913) 262-3839

NPI assigned

Jun 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 5, 2021 through Nov 5, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Foxridge Dental

  • General Practice Dentistry
  • Mission, KS
  • NPI 1558950956
  NPD Authorized official
• Dr. Steven C. Mingos & Associates, LLC

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1912029893
  NPD (past)

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1508271834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 FOXRIDGE DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662021556",
            "telephone_number": "913-262-3838",
            "fax_number": "913-262-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 FOXRIDGE DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662021556",
            "telephone_number": "913-262-3838",
            "fax_number": "913-262-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDEREE",
        "first_name": "JESSICA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zach W Nemechek, DDS
• Mary L Neuburger
• Manuel NG Cortinas, M.D.
• Danny Nguyen, PHARM D
• Chastity Jo Nichols, LPC
• Brooke Laurel Norton, D.D.S.
• Tiffany Noteboom-Henderson, LMSW
• O'Brien Infusion Services, Inc
• Justin Donald O'Brien
• Richard Martin Oakley, DDS

• Dentist in Mission, KS
• Providers in Mission, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.