Active NPI
Adam Flack, D.D.S. M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2008015944
- Practice address
- 2101 Charlotte St
Kansas City, MO 64108-2727 - Phone
- (816) 404-0500
- NPI assigned
- Feb 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2008015944 | MO | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2008015944 | MO | Primary |
Addresses
Primary practice location
2101 Charlotte St
Kansas City, MO 64108-2727
Mailing address
2310 Holmes St Ste 800
Kansas City, MO 64108-2602
Other practice location 1
200 SE Douglas St Ste 100
Lees Summit, MO 64063-2339
Phone (816) 524-2492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- University of Missouri, Kansas City, School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2101 Charlotte St
Kansas City, MO 64108-2727
Phone (816) 404-2222
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.53 of 100
- Quality
- 59.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008015944 | MO | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health Physicians | Current | Accepting new patients |
Locations
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201
2310 Holmes St
Ste 800
Kansas City, MO 64108
Phone (816) 218-2500
2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380
7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485
2301 Holmes St
Kansas City, MO 64108
2101 Charlotte St
Kansas City, MO 64108
Phone (816) 404-0072
2101 Charlotte St
Ste 350
Kansas City, MO 64108
Phone (816) 404-0550
Interoperability endpoints
- adam.flack@direct.tmcmed.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1467595793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1184863813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 HOLMES ST STE 800",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 CHARLOTTE ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082727",
"telephone_number": "816-404-0500"
}
],
"practiceLocations": [
{
"address_1": "200 SE Douglas St Ste 100",
"address_purpose": "LOCATION",
"city": "Lees Summit",
"state": "MO",
"postal_code": "640632339",
"country_code": "US",
"telephone_number": "816-524-2492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLACK",
"first_name": "ADAM",
"credential": "D.D.S. M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-19",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2008015944",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MO",
"license": "2008015944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.