Organization Active NPI

Flucke & Associates DDS PC

  • General Practice Dentistry
  • Lees Summit, MO
National Provider Identifier
1780738864
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14922 Issued in MO
Legal business name
FLUCKE & ASSOCIATES DDS PC
Practice address
209 NW Blue Pkwy
Lees Summit, MO 64063-1872
Phone
(816) 525-7373
Fax
(801) 858-7633
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Mrs. Peggy S Flucke
Title
Secretary
Phone
(816) 525-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14922 MO Primary

Addresses

Primary practice location

209 NW Blue Pkwy
Lees Summit, MO 64063-1872

Mailing address

209 NW Blue Pkwy
Lees Summit, MO 64063-1872
Phone (816) 525-7373

Other names 1

  • Flucke & Associates Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

209 NW Blue Pkwy
Lees Summit, MO 64063
Phone (816) 525-7373

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1780738864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631872",
            "telephone_number": "816-525-7373",
            "fax_number": "801-858-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631872",
            "telephone_number": "816-525-7373",
            "fax_number": "801-858-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUCKE & ASSOCIATES DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "FLUCKE",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "816-525-7373",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "14922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flucke & Associates Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.