James L Samples, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

11650 Issued in MO

Practice address

1411A N Jefferson St
Carrollton, MO 64633-1945

Phone

(660) 542-1653

Fax

(660) 542-1654

NPI assigned

May 3, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James L Samples DDS ,PC

  • General Practice Dentistry
  • Carrollton, MO
  • NPI 1104987841
  NPD (past) Authorized official

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669430997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WALNUT DR",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331376",
            "telephone_number": "660-542-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411A N JEFFERSON ST",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331945",
            "telephone_number": "660-542-1653",
            "fax_number": "660-542-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLES",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "11650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Lynn Ralls, M.D.
• Jonna Hickcox Rechterman, APRN FNP
• Timothy Neil Reid, MD
• Abigail Ann Richards, PHARM D
• Charles Blake Riley, PHARM.D.
• Karmen Kay Scott, PLPC
• Sloan Eyecare Center L.L.C (Premier EyeCare Associates)
• Lucinda Marie Smith, MSCCC-SLP
• Richard Lee Smith, M.D.
• Thomas Frederick Smith, D.D.S.

• Dentist in Carrollton, MO
• Providers in Carrollton, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.