Organization Active NPI

Alan C Fashion, D.D.S., PC

  • General Practice Dentistry
  • Gladstone, MO
National Provider Identifier
1194912949
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE015142 Issued in MO
Legal business name
ALAN C FASHION, D.D.S., PC
Practice address
2727 NE Brooktree Lane
Gladstone, MO 64119-1833
Phone
(816) 452-4600
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Dr. Alan C Fashion, D.D.S.
Title
President
Phone
(816) 452-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE015142 MO Primary

Addresses

Primary practice location

2727 NE Brooktree Lane
Gladstone, MO 64119-1833

Mailing address

2727 NE Brooktree Lane
Gladstone, MO 64119-1833
Phone (816) 452-4600

National Provider Directory

National Provider Directory

Locations

2727 NE Brooktree Ln
Gladstone, MO 64119
Phone (816) 452-4600

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1194912949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 NE BROOKTREE LANE",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641191833",
            "telephone_number": "816-452-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 NE BROOKTREE LANE",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641191833",
            "telephone_number": "816-452-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN C FASHION, D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "FASHION",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-452-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "DE015142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.