Active NPI
Jesse G. Maize, DDS P.C.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 10665
- Legal business name
- JESSE G. MAIZE, DDS P.C.
- Practice address
- 1321 SW Market St
Lees Summit, MO 64081-2904 - Phone
- (816) 554-3400
- NPI assigned
- Mar 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jesse G. Maize, DDS
- Title
- President
- Phone
- (816) 554-3400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10665 | MO | Primary |
Addresses
Primary practice location
1321 SW Market St
Lees Summit, MO 64081-2904
Mailing address
1321 SW Market St
Lees Summit, MO 64081-2904
Phone (816) 554-3400
National Provider Directory
National Provider DirectoryLocations
1321 SW Market St
Lees Summit, MO 64081
Phone (816) 607-7180
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lee's Summit, MO
- NPI 1548673122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345420800000",
"number": "1720117054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 SW MARKET ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640812904",
"telephone_number": "816-554-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 SW MARKET ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640812904",
"telephone_number": "816-554-3400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSE G. MAIZE, DDS P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-04",
"last_updated": "2012-08-20",
"status": "A",
"authorized_official_last_name": "MAIZE",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "816-554-3400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MO",
"license": "10665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.