Kelvin Dam, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

312 SW Greenwich Dr # 174
Lees Summit, MO 64082-4408

Phone

(816) 867-0867

NPI assigned

Jun 17, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Health Impact Partners

  • Medical Foods Supplier
  • Independence, MO
  • NPI 1053197251
  NPD Authorized official
• Mpact Associates Inc.

  • Registered Dietitian
  • Lees Summit, MO
  • NPI 1437867058

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693612800000",
    "number": "1073182713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SW GREENWICH DR # 174",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824408",
            "telephone_number": "816-867-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SW GREENWICH DR # 174",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824408",
            "telephone_number": "816-867-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAM",
        "first_name": "KELVIN",
        "name_prefix": "Mr.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2023-09-02",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daggett & Kramer,DO,LLC
• Christopher Michael Daggett, D.O.
• Matthew C. Daggett, D.O.
• Nichole Dahmer
• Brenae Daines, R.N.
• Quyen Dam, M.D.
• Jennifer Dampf
• Patricia Dandache, M.D.
• John Nicholas Dane, DDS
• Lisa Dangler

• Registered Dietitian in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2023; 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.