Individual provider Active NPI

Curt Breckenridge Mundis, LMSW

  • Social Worker
  • Overland Park, KS
National Provider Identifier
1053825547
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10146 Issued in KS
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

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
10146KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.