Organization Active NPI

John a. Deakins DDS PC

  • General Practice Dentistry
  • Liberty, MO
National Provider Identifier
1205304540
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN A. DEAKINS DDS PC
Practice address
6 Victory LN
Ste 1
Liberty, MO 64068-2053
Phone
(816) 781-7280
Fax
(816) 781-7568
NPI assigned
Nov 5, 2018
Organization subpart
Yes
Parent organization
JOHN A. DEAKINS DDS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Authorized official

Name
John A. Deakins, DDSNPI 1780970327
Title
Owner
Phone
(816) 781-7280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6 Victory LN
Ste 1
Liberty, MO 64068-2053

Mailing address

6 Victory LN
Ste 1
Liberty, MO 64068-2053
Phone (816) 781-7280

Other names 1

  • Northland Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Part of
John a Deakins DDS PC

Locations

6 Victory Ln
Ste 1
Liberty, MO 64068
Phone (816) 781-7280

Practitioners & affiliated clinicians

Practitioners 2

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": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1205304540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 VICTORY LN",
            "address_2": "STE 1",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682053",
            "telephone_number": "816-781-7280",
            "fax_number": "816-781-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 VICTORY LN",
            "address_2": "STE 1",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682053",
            "telephone_number": "816-781-7280",
            "fax_number": "816-781-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. DEAKINS DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN A. DEAKINS DDS PC",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "DEAKINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-781-7280",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northland Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.