NPIMap

Organization Active NPI

James B Indiveri DMD PC

  • Dentist
  • Blue Springs, MO
National Provider Identifier
1578632444
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6441 Issued in KS
Legal business name
JAMES B INDIVERI DMD PC
Practice address
300 NW R D Mize Road
Blue Springs, MO 64014
Phone
(816) 229-1245
Fax
(816) 229-7555
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. James B Indiveri, DMD PCNPI 1649593039
Title
President
Phone
(816) 229-1245

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 015196 MO
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 6441 KS Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 810 MO
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 445 KS

Addresses

Primary practice location

300 NW R D Mize Road
Blue Springs, MO 64014

Mailing address

300 NW R D Mize Road
Blue Springs, MO 64014
Phone (816) 229-1245

Other identifiers 4

IdentifierTypeStateIssuer
113498OtherUNITED CONCORDIA
13670041OtherMOBLUE CROSS BLUE SHIELD OF
275737OtherBLUE CROSS BLUE SHIELD TR
619312OtherKSBLUE CROSS BLUE SHIELD KS

National Provider Directory

National Provider Directory

Locations

300 W Road Mize Rd
Blue Springs, MO 64014
Phone (816) 229-1245

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1578632444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NW R D MIZE ROAD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-229-1245",
            "fax_number": "816-229-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW R D MIZE ROAD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-229-1245",
            "fax_number": "816-229-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B INDIVERI DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "INDIVERI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-229-1245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD PC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "015196",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "6441",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "810",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KS",
            "license": "445",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "113498",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "13670041",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TR",
            "identifier": "275737",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KS",
            "identifier": "619312",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.