LONDON BALES DMD
NPI 1952090789
Dentist - General Practice in Carrollton, MO

Active since May 08, 2023PECOS Enrolled
718 HARVEST HILLS DR, CARROLLTON, MO 64633(877) 344-3572(866) 228-4492 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 10, 2025, May 8, 2023 (2 updates tracked since 2023).

About London Bales Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONDON BALES DMD (NPI 1952090789) is an individual general practice provider in Carrollton, Missouri, licensed in Missouri (2025019620) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1952090789
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameLONDON BALESCredential: DMD
Location Address718 HARVEST HILLS DRCarrollton, MO 64633-2412
Mailing Address819 S Business Highway 13Lexington, MO 64067-1515 · (660) 667-0303 · Fax (660) 251-0524
Fax(866) 228-4492
Sole ProprietorYes
Enumeration DateMay 8, 2023
Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1952090789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2025019620
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
718 HARVEST HILLS DR, Carrollton, MO 64633

Secondary Practice Locations 5

Location 117611 E US Hwy 24, STE HCCIndependence, MO 64056 · Phone (877) 344-3572 · Fax (866) 228-4492
Location 2811 S Business Highway 13 Ste ALexington, MO 64067-1572 · Phone (877) 344-3572 · Fax (866) 228-4492
Location 3608 Missouri StWaverly, MO 64096-8241 · Phone (877) 344-3572 · Fax (866) 228-4492
Location 4324 S Hudson StBuckner, MO 64016-8142 · Phone (877) 344-3572 · Fax (866) 228-4492
Location 5206 N Bismark St Ste AConcordia, MO 64020-8101 · Phone (877) 344-3572 · Fax (866) 228-4492

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

London Bales Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show London Bales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
718 HARVEST HILLS DR
Carrollton, MO 64633
  • Reassigned Medicare billing, Missouri enrollment
  • 16 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64633 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
718 HARVEST HILLS DR
CARROLLTON, MO 64633
Nurse Practitioner (Family)
718 HARVEST HILLS DR
CARROLLTON, MO 64633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is London Bales's NPI number?

The NPI number for London Bales is 1952090789. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is London Bales located?

London Bales practices at 718 Harvest Hills Dr, Carrollton, MO 64633. The listed phone number is (877) 344-3572.

What is London Bales's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is London Bales enrolled in Medicare?

Yes. London Bales is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for London Bales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), London Bales reassigns Medicare benefits to Hcc Network (Carrollton, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for London Bales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does London Bales accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 15 other insurers list London Bales as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for London Bales was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.