KC Podiatry Care, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

12-00309 Issued in KS

Legal business name

KC PODIATRY CARE, PA

Practice address

7301 Mission Rd
Suite 152
Prairie Village, KS 66208-3006

Phone

(913) 432-2000

Fax

(913) 432-2001

NPI assigned

Mar 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Raphael Nguyen Nguyen, DPM

Title

President

Phone

(913) 432-2000

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raphael Tuan Nguyen, DPM

  • Podiatrist
  • Prairie Village, KS
  • NPI 1386796845
  Medicare reassignment NPD

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1073887014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MISSION RD",
            "address_2": "SUITE 152",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083006",
            "telephone_number": "913-432-2000",
            "fax_number": "913-432-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MISSION RD",
            "address_2": "SUITE 152",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083006",
            "telephone_number": "913-432-2000",
            "fax_number": "913-432-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC PODIATRY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-432-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "12-00309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER GROUP # FOR KS (OUTSIDE KANSAS CITY LIMITS)",
            "identifier": "114130",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN FOR KS #",
            "identifier": "114130",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN (FOR JOHNSON COUNTY AREA)",
            "identifier": "KA2540",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26580022",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN (FOR OUTSIDE OF KANSAS CITY/JOHNSON CO AREAS)",
            "identifier": "KA2541",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER GROUP #",
            "identifier": "S340000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00183110",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Katzenmeier
• Laura E. Katzer Evrard
• KC Eye Specialists MDS PC
• KC Pediatric Therapy, LLC
• KC Podiatry Care PA
• KCRG Homecare, Inc.
• Leann Marie Keck, LMSW
• Chelsey Kaylan Keim
• Jessica Ellen Keller, PHD, RDN
• Mallory Diane Keller

• Podiatrist in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Podiatrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.