Organization Active NPI

J Daniel Fleming DDS PC

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1023477304
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14474 Issued in MO
Legal business name
J DANIEL FLEMING DDS PC
Doing business as
Crossroads Dentistry
Practice address
1819 Wyandotte St
Kansas City, MO 64108-1980
Phone
(816) 841-0206
Fax
(816) 221-5503
NPI assigned
Feb 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
J Daniel Fleming
Title
Owner
Phone
(816) 841-0206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14474 MO Primary

Addresses

Primary practice location

1819 Wyandotte St
Kansas City, MO 64108-1980

Mailing address

1819 Wyandotte St
Kansas City, MO 64108-1980
Phone (816) 841-0206

Other names 1

  • Crossroads Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1819 Wyandotte St
Kansas City, MO 64108
Phone (816) 841-0206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1023477304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 WYANDOTTE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081980",
            "telephone_number": "816-841-0206",
            "fax_number": "816-221-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 WYANDOTTE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081980",
            "telephone_number": "816-841-0206",
            "fax_number": "816-221-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J DANIEL FLEMING DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "J DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-841-0206"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "14474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.