Active NPI
Curt Breckenridge Mundis, LMSW
- Social Worker
- Overland Park, KS
National Provider Identifier
1053825547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10146
- Practice address
- 11011 King St Ste 237
Overland Park, KS 66210-3210 - Phone
- (913) 735-9433
- Fax
- (913) 871-3133
- NPI assigned
- Nov 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10146 | KS | Primary |
Addresses
Primary practice location
11011 King St Ste 237
Overland Park, KS 66210-3210
Mailing address
10024 W 118TH Ter Apt 301
Overland Park, KS 66210-3100
Phone (816) 682-8065
Other names 1
- Breck Mundis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10146 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dragonfly Health & Wellness LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Group Psychotherapy Psychologist
- Overland Park, KS
- NPI 1225545999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1053825547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10024 W 118TH TER APT 301",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662103100",
"telephone_number": "816-682-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11011 KING ST STE 237",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662103210",
"telephone_number": "913-735-9433",
"fax_number": "913-871-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNDIS",
"first_name": "CURT",
"middle_name": "BRECKENRIDGE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-21",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "10146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRECK",
"last_name": "MUNDIS",
"credential": "LMSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.