Active NPI
James E Gracheck, D O P C
- Family Medicine Physician
- Kansas City, MO
National Provider Identifier
1023253176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33627
- Legal business name
- JAMES E GRACHECK, D O P C
- Practice address
- 106 W 72ND St
Kansas City, MO 64114-5702 - Phone
- (816) 444-0025
- Fax
- (816) 444-0007
- NPI assigned
- Dec 3, 2008
- 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
- Dr. James E Gracheck, D.O.
- Title
- Owner
- Phone
- (816) 444-0025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33627 | MO | Primary |
Addresses
Primary practice location
106 W 72ND St
Kansas City, MO 64114-5702
Mailing address
8607 E 77TH St
Kansas City, MO 64138-1210
Phone (816) 358-1231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240879205 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234224000000",
"number": "1023253176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8607 E 77TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641381210",
"telephone_number": "816-358-1231",
"fax_number": "816-743-0484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 W 72ND ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641145702",
"telephone_number": "816-444-0025",
"fax_number": "816-444-0007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES E GRACHECK, D O P C",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-03",
"last_updated": "2009-02-10",
"status": "A",
"authorized_official_last_name": "GRACHECK",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-444-0025",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MO",
"license": "33627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240879205",
"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 Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.