London Bales, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2025019620 Issued in MO

Practice address

718 Harvest Hills Dr
Carrollton, MO 64633-2412

Phone

(877) 344-3572

Fax

(866) 228-4492

NPI assigned

May 8, 2023

Last updated

Jul 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGBBCA

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.

• HCC Network

  dba Live Well Community Health Center-Waverly

  • Federally Qualified Health Center (FQHC)
  • Waverly, MO
  • NPI 1174960769
  Medicare reassignment NPD
• HCC Network

  • Federally Qualified Health Center (FQHC)
  • Carrollton, MO
  • NPI 1255114559
  NPD
• HCC Network

  dba Live Well Community Health Center Independence

  • Federally Qualified Health Center (FQHC)
  • Independence, MO
  • NPI 1760150817
  NPD

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1952090789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S BUSINESS HIGHWAY 13",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671515",
            "telephone_number": "660-667-0303",
            "fax_number": "660-251-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 HARVEST HILLS DR",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646332412",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17611 E US Hwy 24",
            "address_2": "STE HCC",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "64056",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 S Business Highway 13 Ste A",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MO",
            "postal_code": "640671572",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 Missouri St",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "MO",
            "postal_code": "640968241",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 S Hudson St",
            "address_purpose": "LOCATION",
            "city": "Buckner",
            "state": "MO",
            "postal_code": "640168142",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 N Bismark St Ste A",
            "address_purpose": "LOCATION",
            "city": "Concordia",
            "state": "MO",
            "postal_code": "640208101",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALES",
        "first_name": "LONDON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2025019620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahnefeld Pharm LLC (Jodi's Family Pharmacy)
• Jodi Dawn Ahnefeld, PHARM.D.
• Kesley Allen
• B-Pharm, Inc (Remedies Medical Equipment)
• Mary Gail Bartholomew, R.PH.
• Norman Eugene Bliss, DC
• Board of Expanded Services (Five Acres Group Home)
• Brian Bree, M.D.
• Bristol Care, Inc.

• General Practice Dentistry in Carrollton, MO
• Providers in Carrollton, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.