Active NPI
William Hartong, M.D.
- Specialist
- Overland Park, KS
National Provider Identifier
1043280258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0414954
- Practice address
- 10200 W 105TH St
Overland Park, KS 66212-5750 - Phone
- (913) 495-9600
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0414954 | KS | Primary |
Addresses
Primary practice location
10200 W 105TH St
Overland Park, KS 66212-5750
Mailing address
12613 Juniper Cir
Leawood, KS 66209-3128
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1583891B | Other | MO | MEDICARE |
| 1583891C | Other | KS | MEDICARE |
| 100081040A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0414954 | KS | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241395200000",
"number": "1043280258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12613 JUNIPER CIR",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662093128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 W 105TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662125750",
"telephone_number": "913-495-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTONG",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2009-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "0414954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1583891B",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1583891C",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100081040A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.