NPIMap

Organization Active NPI

Alex Sharifian DDS Blue Springs Dentistry PC

Doing business as Blue Springs Dentistry

  • General Practice Dentistry
  • Blue Springs, MO
National Provider Identifier
1083027411
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALEX SHARIFIAN DDS BLUE SPRINGS DENTISTRY PC
Doing business as
Blue Springs Dentistry
Practice address
1205 NE Coronado Drive
Blue Springs, MO 64014
Phone
(816) 228-4090
Fax
(816) 228-4084
NPI assigned
Jun 3, 2014
Last updated
Jun 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Dr. Alex R Sharifian, DDS
Title
Owner
Phone
(816) 228-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1205 NE Coronado Drive
Blue Springs, MO 64014

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Blue Springs Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1205 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 228-4090

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1083027411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 NE CORONADO DRIVE",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-228-4090",
            "fax_number": "816-228-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX SHARIFIAN DDS BLUE SPRINGS DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "SHARIFIAN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-228-4090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Springs Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.