NPIMap

Organization Active NPI

Flack & Stone, D.D.S., P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Blue Springs, MO
National Provider Identifier
1235171059
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
12700 Issued in MO
Legal business name
FLACK & STONE, D.D.S., P.C.
Practice address
300 W R D Mize Rd
Suite 100
Blue Springs, MO 64014-2528
Phone
(816) 229-3737
Fax
(816) 229-1656
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dr. Mark Edwin Flack, D.D.S.NPI 1144241589
Title
Oral Surgeon/Owner
Phone
(816) 229-3737

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 12700 MO Primary

Addresses

Primary practice location

300 W R D Mize Rd
Suite 100
Blue Springs, MO 64014-2528

Mailing address

300 W R D Mize Rd
Suite 100
Blue Springs, MO 64014-2528
Phone (816) 229-3737

National Provider Directory

National Provider Directory

Locations

300 W Road Mize Rd
Ste 100
Blue Springs, MO 64014
Phone (816) 229-3737

Practitioners & affiliated clinicians

Practitioners 4

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1235171059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W R D MIZE RD",
            "address_2": "SUITE 100",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142528",
            "telephone_number": "816-229-3737",
            "fax_number": "816-229-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W R D MIZE RD",
            "address_2": "SUITE 100",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142528",
            "telephone_number": "816-229-3737",
            "fax_number": "816-229-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLACK & STONE, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "FLACK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "ORAL SURGEON/OWNER",
        "authorized_official_telephone_number": "816-229-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "12700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 24, 2007; 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.