Liberty Park Dental

Primary specialty

DentistTaxonomy code 122300000X

License

015821 Issued in MO

Legal business name

LIBERTY PARK DENTAL

Practice address

1508 NE 96TH St
Suite a
Liberty, MO 64068-1348

Phone

(816) 415-8080

Fax

(816) 415-8083

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James James Dixson, DDSNPI 1487696449

Title

Dentist

Phone

(816) 415-8080

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• James Joseph Dixson, DDS

  • Dentist
  • Liberty, MO
  • NPI 1487696449
  NPD (past) Authorized official
• Andrew Stephen Buckner

  • Dentist
  • Liberty, MO
  • NPI 1124694252
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1588710552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 NE 96TH ST",
            "address_2": "SUITE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681348",
            "telephone_number": "816-415-8080",
            "fax_number": "816-415-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 NE 96TH ST",
            "address_2": "SUITE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681348",
            "telephone_number": "816-415-8080",
            "fax_number": "816-415-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "DIXSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-415-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "015821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Medicine Specialists, Inc.
• Liberty Neurology, LLC
• Liberty Orthopedic Associates, P.C.
• Liberty Orthopedic Associates, P.C.
• Liberty Park Chiropractic, LLC
• Liberty Psychological Services, L.L.C.
• Liberty Radiation Oncology Center
• Liberty Speech Language Therapy LLC
• Liberty Terrace Healthcare and Rehabilitation Center, LLC
• Liberty Terrace Nursing LLC

• Dentist in Liberty, MO
• Providers in Liberty, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.