Active NPI
Ross S Headley, DDS
- General Practice Dentistry
- Overland Park, KS
National Provider Identifier
1982774295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6953
- Practice address
- 12850 Metcalf Ave
Ste 200
Overland Park, KS 66213-2622 - Phone
- (913) 491-6874
- Fax
- (913) 491-6917
- NPI assigned
- Nov 8, 2006
- Last updated
- Jun 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6953 | KS | Primary |
Addresses
Primary practice location
12850 Metcalf Ave
Ste 200
Overland Park, KS 66213-2622
Mailing address
12850 Metcalf Ave
Ste 200
Overland Park, KS 66213-2622
Phone (913) 491-6874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6953 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KC Smile, P.a. | General Practice | Past | 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": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1982774295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12850 METCALF AVE",
"address_2": "STE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662132622",
"telephone_number": "913-491-6874",
"fax_number": "913-491-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12850 METCALF AVE",
"address_2": "STE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662132622",
"telephone_number": "913-491-6874",
"fax_number": "913-491-6917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEADLEY",
"first_name": "ROSS",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "6953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
- Head & Neck Surgery of Kansas City P a
- Head and Neck Surgical Associates, PA
- Head Start of Shawnee Mission
- Head Start of Shawnee Mission, Inc.
- Jane E. Head, M.A.
- Healing Hearts Family Therapy, LLC
- Healing Insights, LLC
- Health and Wellness Clinic, LLC (The Health and Wellness Clinic)
- Health Care and Informatics Inc
- Health Care Associated Emergency Physicians, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.