Individual provider Active NPI

Jamie Lynn Thurman-Taylor, D.D.S.

  • General Practice Dentistry
  • Lees Summit, MO
National Provider Identifier
1992903090
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019130 Issued in MO
Practice address
3568 SW Market St
Lees Summit, MO 64082-2327
Phone
(816) 537-6161
Fax
(816) 537-6165
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 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 019130 MO Primary

Addresses

Primary practice location

3568 SW Market St
Lees Summit, MO 64082-2327

Mailing address

3568 SW Market St
Lees Summit, MO 64082-2327
Phone (816) 537-6161

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
I20151214001222 MO Order and Referring Only - DentistPractitioner - Dentist 1658672803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019130MOMDGeneral Practice Dentistry
2007019130MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie L. Thurman-Taylor, D.D.S., LLC General Practice Past Accepting new patients
Mark E. Hartter, D.D.S., P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1992903090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3568 SW MARKET ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640822327",
            "telephone_number": "816-537-6161",
            "fax_number": "816-537-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3568 SW MARKET ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640822327",
            "telephone_number": "816-537-6161",
            "fax_number": "816-537-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN-TAYLOR",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "019130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.