Organization Active NPI

His Temple

  • Clinic/Center
  • Kansas City, MO
National Provider Identifier
1043978802
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HIS TEMPLE
Practice address
300 E 39TH St # 57
Kansas City, MO 64111-1531
Phone
(816) 237-7115
NPI assigned
Nov 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Nicole Rochelle Smith, NP
Title
Nurse Practitioner/Owner
Phone
(816) 377-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

300 E 39TH St # 57
Kansas City, MO 64111-1531

Mailing address

300 E 39TH St # 57
Kansas City, MO 64111-1531
Phone (816) 237-7115

National Provider Directory

National Provider Directory

Locations

300 E 39th St
#57
Kansas City, MO 64111
Phone (816) 237-7115

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1043978802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 39TH ST # 57",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111531",
            "telephone_number": "816-237-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 39TH ST # 57",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111531",
            "telephone_number": "816-237-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS TEMPLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "816-377-1551",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.