Individual provider Active NPI

Carol J Jones-Crall, DDS

  • General Practice Dentistry
  • Kansas City, KS
National Provider Identifier
1841288974
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60337 Issued in KS
Practice address
707 Minnesota Ave
Suite 100
Kansas City, KS 66101-2516
Phone
(913) 321-4385
Fax
(913) 321-4037
NPI assigned
Oct 12, 2005
Last updated
Jun 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60337 KS Primary

Addresses

Primary practice location

707 Minnesota Ave
Suite 100
Kansas City, KS 66101-2516

Mailing address

707 Minnesota Ave
Suite 100
Kansas City, KS 66101-2516
Phone (913) 321-4385

Other identifiers 1

IdentifierTypeStateIssuer
9178821MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20150610002556 KS Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8426379801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60337KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Kansas Dental Professionals PA Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1841288974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 MINNESOTA AVE",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012516",
            "telephone_number": "913-321-4385",
            "fax_number": "913-321-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 MINNESOTA AVE",
            "address_2": "SUITE 100",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012516",
            "telephone_number": "913-321-4385",
            "fax_number": "913-321-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-CRALL",
        "first_name": "CAROL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178821",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.