Organization Active NPI

Restored Images Inc

  • Durable Medical Equipment & Medical Supplies
  • Kansas City, MO
National Provider Identifier
1043315641
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
14757222 Issued in MO
Legal business name
RESTORED IMAGES INC
Practice address
4116 NE Vivion Rd
Kansas City, MO 64119-2811
Phone
(816) 454-2900
Fax
(816) 454-5881
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Mrs. Rebecca Wills
Title
President
Phone
(816) 454-2900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 14757222 MO Primary
Prosthetic/Orthotic Supplier 335E00000X 14757222 MO

Addresses

Primary practice location

4116 NE Vivion Rd
Kansas City, MO 64119-2811

Mailing address

4116 NE Vivion Rd
Kansas City, MO 64119-2811
Phone (816) 454-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930075432 MO DME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company 0042337578 Practice locations: Kansas City, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Restored Images Inc4116 NE Vivion Rd, Kansas City, MO 64119-2811(816) 454-2900 Breast Prostheses and/or Accessories|Ostomy Supplies|Urological Supplies|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

4116 NE Vivion Rd
Kansas City, MO 64119
Phone (816) 454-2900

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1043315641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 NE VIVION RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192811",
            "telephone_number": "816-454-2900",
            "fax_number": "816-454-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 NE VIVION RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192811",
            "telephone_number": "816-454-2900",
            "fax_number": "816-454-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED IMAGES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-454-2900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "14757222",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MO",
            "license": "14757222",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.