NPIMap

Organization Active NPI

Children'S Center for the Visually Impaired

  • Developmentally Disabled Services Day Training Agency
  • Kansas City, MO
National Provider Identifier
1023136165
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
N00007354 Issued in MO
Legal business name
CHILDREN'S CENTER FOR THE VISUALLY IMPAIRED
Practice address
3101 Main St
Kansas City, MO 64111-1921
Phone
(816) 841-2284
Fax
(816) 753-7836
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Kerry Shawn Boehm
Title
Executive Director
Phone
(816) 841-2284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X N00007354 MO Primary

Addresses

Primary practice location

3101 Main St
Kansas City, MO 64111-1921

Mailing address

3101 Main St
Kansas City, MO 64111-1921
Phone (816) 841-2284

Other identifiers 1

IdentifierTypeStateIssuer
506282101MedicaidMO

National Provider Directory

National Provider Directory

Locations

3101 Main St
Kansas City, MO 64111
Phone (816) 756-0780

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1023136165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111921",
            "telephone_number": "816-841-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111921",
            "telephone_number": "816-841-2284",
            "fax_number": "816-753-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CENTER FOR THE VISUALLY IMPAIRED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-841-2284"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "N00007354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506282101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 16, 2023; 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.