Individual provider Active NPI

John A Deakins, DDS

  • Dentist
  • Liberty, MO
National Provider Identifier
1780970327
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2011018553 Issued in MO
Practice address
6 Victory LN Ste 1
Liberty, MO 64068-3805
Phone
(816) 781-7280
Fax
(816) 781-7568
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2011018553 MO Primary

Addresses

Primary practice location

6 Victory LN Ste 1
Liberty, MO 64068-3805

Mailing address

6416 N Cosby Ave
Kansas City, MO 64151-2377
Phone (573) 823-3612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2011018553MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
John a. Deakins DDS PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1780970327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 N COSBY AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512377",
            "telephone_number": "573-823-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 VICTORY LN STE 1",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683805",
            "telephone_number": "816-781-7280",
            "fax_number": "816-781-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAKINS",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2011018553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.