NPIMap

Organization Active NPI

Extraordinary Transport Services LLC

  • Transportation Broker
  • Kansas City, MO
National Provider Identifier
1013519594
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
EXTRAORDINARY TRANSPORT SERVICES LLC
Doing business as
Extraordinary Transport Services LLC
Practice address
3200 E 94TH St
Kansas City, MO 64132-2846
Phone
(816) 606-6863
NPI assigned
Nov 10, 2020
Last updated
Nov 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Mrs. Demond Willingham
Title
Ceo/Owner
Phone
(816) 606-6863

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

3200 E 94TH St
Kansas City, MO 64132-2846

Mailing address

3200 E 94TH St
Kansas City, MO 64132-2846
Phone (816) 606-6863

Other names 1

  • Extraordinary Transport Services LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1013519594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E 94TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641322846",
            "telephone_number": "816-606-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 E 94TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641322846",
            "telephone_number": "816-606-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRAORDINARY TRANSPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "WILLINGHAM",
        "authorized_official_first_name": "DEMOND",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "816-606-6863",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extraordinary Transport Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.