Active NPI
New Balance Kansas City
- Durable Medical Equipment & Medical Supplies
- Overland Park, KS
National Provider Identifier
1043409766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 013370
- Legal business name
- NEW BALANCE KANSAS CITY
- Practice address
- 6607 W 119TH St
Overland Park, KS 66209-2020 - Phone
- (913) 696-1646
- NPI assigned
- Oct 18, 2007
- Last updated
- Oct 18, 2007
- Organization subpart
- Yes
- Parent organization
- BROWN'S ENTERPRISES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julia Hiles, C.PED
- Title
- Certified Pedorthist
- Phone
- (913) 696-1646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 013370 | MO | Primary |
Addresses
Primary practice location
6607 W 119TH St
Overland Park, KS 66209-2020
Mailing address
6607 W 119TH St
Overland Park, KS 66209-2020
Phone (913) 696-1646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0510770003 | Other | KS | MEDICARE ID |
National Provider Directory
National Provider Directory- Tax ID family
- Browns Family Shoe Stor
- Part of
- Browns Family Shoe Stor
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba New Balance-St. Louis
- Durable Medical Equipment & Medical Supplies
- Saint Louis, MO
- NPI 1487838306
-
- Customized Equipment (DME)
- Washington, MO
- NPI 1699834416
-
- Durable Medical Equipment & Medical Supplies
- Lake St Louis, MO
- NPI 1114165263
-
- Customized Equipment (DME)
- Saint Louis, MO
- NPI 1285872614
Locations
6607 W 119th St
Overland Park, KS 66209
Phone (913) 696-1646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192665600000",
"number": "1043409766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6607 W 119TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662092020",
"telephone_number": "913-696-1646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6607 W 119TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662092020",
"telephone_number": "913-696-1646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BALANCE KANSAS CITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BROWN'S ENTERPRISES",
"enumeration_date": "2007-10-18",
"last_updated": "2007-10-18",
"status": "A",
"authorized_official_last_name": "HILES",
"authorized_official_first_name": "JULIA",
"authorized_official_title_or_position": "CERTIFIED PEDORTHIST",
"authorized_official_telephone_number": "913-696-1646",
"authorized_official_credential": "C.PED"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MO",
"license": "013370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "0510770003",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
- Daniel Lee Neuman, DO
- Lauren Nicole Neuman, DO, MBA
- Neurosurgery of Kansas City, LLC
- Mark R Neustrom, DO
- Nevin K Waters DDS, PA
- New Birth Company, LLC (New Birth Company)
- New Day Chiropractic, LLC (New Day Chiropractic)
- New Directions Behavioral Health, LLC
- New Horizon Care PA
- New Morning, LLC (FirstLight HomeCare of Overland Paek)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.