Valudental Gladstone Ferguson DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2008028696 Issued in MO

Legal business name

VALUDENTAL GLADSTONE FERGUSON DDS

Doing business as

Celebrate Dental & Braces

Practice address

319 NE Vivion Rd
Kansas City, MO 64118-4510

Phone

(210) 451-0000

Fax

(210) 233-8829

NPI assigned

Aug 23, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David B Ferguson, DDS, CAGS

Title

Owner

Phone

(210) 451-0000

Specialties & licenses 1

Addresses

Other names 1

• Celebrate Dental & Braces Doing business as

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1003361791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 NE VIVION RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184510",
            "telephone_number": "210-451-0000",
            "fax_number": "210-233-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 NE VIVION RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184510",
            "telephone_number": "210-451-0000",
            "fax_number": "210-233-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUDENTAL GLADSTONE FERGUSON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-451-0000",
        "authorized_official_credential": "DDS, CAGS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2008028696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebrate Dental & Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Nicole Valenzuela, MA, NCC, LPC
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• Luis Alfredo Valverde Estrada, DO
• Karthik Vamanan, M.D.
• Laketa K Vample
• Shanna Van Aken, APRN
• Anna Van Asselt, MA

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, 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 Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.