Active NPI
Restored Images Inc
- Durable Medical Equipment & Medical Supplies
- Kansas City, MO
National Provider Identifier
1043315641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 14757222
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930075432 | MO | DME Supplier - Medical Supply Company With Prosthetic Personnel | 0042337578 | Practice locations: Kansas City, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Restored Images Inc | Breast Prostheses and/or Accessories|Ostomy Supplies|Urological Supplies|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.