Organization Active NPI

Dismas House of Kansas City

  • Community/Behavioral Health Agency
  • Kansas City, MO
National Provider Identifier
1053574103
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
616910679 Issued in MO
Legal business name
DISMAS HOUSE OF KANSAS CITY
Practice address
207 W Linwood Blvd
Kansas City, MO 64111-1327
Phone
(816) 531-6050
NPI assigned
Jul 9, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Ladell M Flowers, M ED RSAP QP REV
Title
Executive Director
Phone
(816) 531-6050

National Provider Directory

National Provider Directory

Locations

207 W Linwood Blvd
Kansas City, MO 64111
Phone (816) 531-6050

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 616910679 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

207 W Linwood Blvd
Kansas City, MO 64111-1327

Mailing address

207 W Linwood Blvd
Kansas City, MO 64111-1327
Phone (816) 531-6050

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2008.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1053574103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W LINWOOD BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111327",
            "telephone_number": "816-531-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W LINWOOD BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111327",
            "telephone_number": "816-531-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISMAS HOUSE OF KANSAS CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "LADELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-531-6050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M ED RSAP QP  REV"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "616910679",
            "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 Jul 9, 2008; 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.