John Thomas Fales Jr., D.D.S., M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5859 Issued in KS

Practice address

13496 S Arapaho Dr
Olathe, KS 66062-1553

Phone

(913) 782-2207

Fax

(913) 489-0028

NPI assigned

Jan 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Fales Pediatric Dentistry

  • Pediatric Dentistry
  • Olathe, KS
  • NPI 1235477688
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1477531903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13496 S ARAPAHO DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621553",
            "telephone_number": "913-782-2207",
            "fax_number": "913-489-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13496 S ARAPAHO DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621553",
            "telephone_number": "913-782-2207",
            "fax_number": "913-489-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALES",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "5859",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "016059",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100222530C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405694209",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiyamike Ezala, NP
• Douglas W Fain, DDS.,MD
• Christopher Fairleigh, M.S. SLP
• Tyler Falck, LMLP
• Fales Pediatric Dentistry
• Kevin Fall, PH.D.
• Famili LLC
• Family Centered Dentistry
• Family Concepts P a
• Parker William Fancher, DDS

• Pediatric Dentistry in Olathe, KS
• Providers in Olathe, KS by specialty
• Pediatric Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.