Individual provider Active NPI

James Robert Mobley, DDS

  • Dentist
  • Kansas City, MO
National Provider Identifier
1760464986
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11241 Issued in MO
Practice address
315 Nichols Rd
Ste 211
Kansas City, MO 64112-1511
Phone
(816) 753-8728
Fax
(816) 753-2530
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11241 MO Primary

Addresses

Primary practice location

315 Nichols Rd
Ste 211
Kansas City, MO 64112-1511

Mailing address

315 Nichols Rd
Ste 211
Kansas City, MO 64112-1511
Phone (816) 753-8728

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160615000277 MO Order and Referring Only - DentistPractitioner - Dentist 5193016582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11241MOMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760464986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NICHOLS RD",
            "address_2": "STE 211",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121511",
            "telephone_number": "816-753-8728",
            "fax_number": "816-753-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NICHOLS RD",
            "address_2": "STE 211",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121511",
            "telephone_number": "816-753-8728",
            "fax_number": "816-753-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "11241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.