JAMES B INDIVERI DMD PC (NPI# 1578632444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578632444 |
Entity Type | Organization |
Organization Name | JAMES B INDIVERI DMD PC |
Practice Address |
300 Nw R D Mize Road Blue Springs MO 64014 |
Practice Telephone | 8162291245 |
Practice Fax Number | 8162297555 |
Mailing Telephone | 8162291245 |
Mailing Fax Number | 8162297555 |
Enumeration Date | 2006-11-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JAMES B INDIVERI (PRESIDENT) |
Authorized Official Telephone | 8162291245 |
Authorized Official Credential | DMD PC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 122300000X | Dentist | 015196 | MO | Dental Providers |
X | 122300000X | Dentist | 6441 | KS | Dental Providers |
X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
810 | MO | Dental Providers |
X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
445 | KS | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UNITED CONCORDIA | 113498 | 01 | |
KS | BLUE CROSS BLUE SHIELD KS | 619312 | 01 |
BLUE CROSS BLUE SHIELD TR | 275737 | 01 | |
MO | BLUE CROSS BLUE SHIELD OF | 13670041 | 01 |
Street Address |
300 NW R D MIZE ROAD |
City | BLUE SPRINGS |
State | MO |
Zip Code | 64014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
Find all providers in zip 64014 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
1790257079 | Christopher Drake Dds My Kids Dentist and Orthodontics, PC | Dentist | 1254 Ne Coronado Dr Ste 113, Blue Springs, MO 64014-2928 | 2018-12-26 |
1457872962 | Bryan Watanabe Dds, White Oaks Dental Group, PC | Dentist | 1125 S 7 Hwy, Blue Springs, MO 64014-3204 | 2017-07-06 |
1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
1104264266 | Tiffany Marie Teegarden | Dentist | 1215 N 7 Hwy, Blue Springs, MO 64014-2281 | 2013-06-11 |
1356689376 | Carl H. Dahlquist D.d.s.,llc | Dentist | 1508 N.w. Mock Ave. Ste A, Blue Springs, MO 64015 | 2013-01-25 |
1942546270 | Britt Dental LLC | Dentist | 1771 Nw Burdett Crossing, Blue Springs, MO 65014-1610 | 2012-12-13 |
1346401577 | Matthew A F Turner | Dentist | 629 Nw Mock, Ste C, Blue Springs, MO 64014 | 2008-06-20 |
1659551760 | Edward J. Bazar Dmd, P.C. | Dentist | 1771 Nw Burdett Xing, Blue Springs, MO 64015-1610 | 2007-11-06 |
1245434653 | Dr W Thomas Norman Dds P C | Dentist | 1212 Sw Luttrell Rd Ste D, Blue Springs, MO 64015-4912 | 2007-06-12 |
Find all providers in BLUE SPRINGS |
City | BLUE SPRINGS |
Zip Code | 64014 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.