Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Samuel O Fadare Jr., MD

Psychiatry Physician in Gladstone, MO · enumerated 2006 · practices at Samuel O Fadare, MD, PA.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184685802

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Registry record

Entity type Individual (Type 1)

Name Dr. Samuel O Fadare Jr.

Credential MD

Sex Male

Practice address 5604 Ne Antioch Rd, Gladstone, MO, 64119

Phone (660) 372-1313

Fax (660) 372-1339

Enumeration date Mar 31, 2006

Last updated in NPPES Oct 6, 2022

Taxonomy & licenses

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 04-24672 (KS) Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 4301063006 (MI) Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 90387 (GA) Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License ME157175 (FL) Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 103939 (MO) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Samuel Fadare's NPI record?

Cross-check NPI 1184685802 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1184685802 active?

Yes, as of the latest NPPES snapshot, NPI 1184685802 is active (record last updated 2022-10-06).

Other providers at this practice address

Browse all →

Gerald Walton General Practice Dentistry · Gladstone, MO NPI 1699774729 Samuel O Fadare, MD, PA Adult Mental Health Clinic/Center · Gladstone, MO NPI 1639287824 Joy Eke Psychiatric/Mental Health Nurse Practitioner · Gladstone, MO NPI 1285752865 Madison Burnett Behavior Analyst · Gladstone, MO NPI 1649785734

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-06.