Steven W Fawks DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13101 Issued in MO

Legal business name

STEVEN W FAWKS DDS PC

Practice address

205 S Spartan Dr
Richmond, MO 64085

Phone

(816) 776-7134

Fax

(816) 470-5191

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Steven Wesley Fawks, DDSNPI 1285785022

Title

President

Phone

(816) 776-7134

Specialties & licenses 1

Addresses

Practitioners 1

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

• Steven Wesley Fawks, DDS

  • General Practice Dentistry
  • Richmond, MO
  • NPI 1285785022
  NPD (past) Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215088968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 258",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "64085",
            "telephone_number": "816-776-7134",
            "fax_number": "816-470-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S SPARTAN DR",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "64085",
            "telephone_number": "816-776-7134",
            "fax_number": "816-470-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN W FAWKS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAWKS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-776-7134",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Richmond, MO
• Providers in Richmond, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.