Active NPI
O'Fallon Family Dentistry
- Dental Clinic/Center
- O Fallon, MO
National Provider Identifier
1992684690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- O'FALLON FAMILY DENTISTRY
- Practice address
- 126 Triad Ctr W
O Fallon, MO 63366-7541 - Phone
- (636) 978-2226
- Fax
- (636) 281-1441
- NPI assigned
- Aug 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Johnson
- Title
- Owner
- Phone
- (636) 978-2226
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
126 Triad Ctr W
O Fallon, MO 63366-7541
Mailing address
126 Triad Ctr W
O Fallon, MO 63366-7541
Phone (636) 978-2226
National Provider Directory
National Provider DirectoryLocations
126 Triad Ctr W
O Fallon, MO 63366
Phone (636) 978-2226
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- O Fallon, MO
- NPI 1417395674
-
- General Practice Dentistry
- O'Fallon, MO
- NPI 1013054170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756339200000",
"number": "1992684690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 TRIAD CTR W",
"city": "O FALLON",
"state": "MO",
"postal_code": "633667541",
"telephone_number": "636-978-2226",
"fax_number": "636-281-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 TRIAD CTR W",
"city": "O FALLON",
"state": "MO",
"postal_code": "633667541",
"telephone_number": "636-978-2226",
"fax_number": "636-281-1441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O'FALLON FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-28",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "636-978-2226"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, MO
- Rachel O Brien, DC
- John J. O'Brien, M.D.
- John J O'Connor, M.D.
- O'Fallon Dental Partnership, Barry Brace, DMD and Associates, LLC
- O'Fallon Dermatology Specialists, P.C.
- O'Fallon Family Eye Care LLC
- O'Fallon Marital & Family Counseling and Wellness Center
- O'Fallon Pain Center
- O'Fallon Pain Relief Associates LLC
- O'Fallon Pharmacy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.