Organization Active NPI

Lowe & Freyaldenhoven MDS Chartered

  • Specialist
  • Overland Park, KS
National Provider Identifier
1124117957
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LOWE & FREYALDENHOVEN MDS CHARTERED
Practice address
7450 Kessler St Ste 150
Overland Park, KS 66204-2550
Phone
(913) 677-2508
Fax
(913) 677-0631
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Bettina Lowe, M.D.NPI 1174529572
Title
President
Phone
(913) 677-2508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X KS Primary

Addresses

Primary practice location

7450 Kessler St Ste 150
Overland Park, KS 66204-2550

Mailing address

7450 Kessler St Ste 150
Overland Park, KS 66204-2550
Phone (913) 677-2508

Other identifiers 4

IdentifierTypeStateIssuer
CP4282OtherKSMEDICARE RAILROAD
25956010OtherKSBLUE SHIELD OF KANSAS CIT
Q670000OtherKSMEDICARE GROUP ID
111071OtherKSKS MEDICARE GRP ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040917001015 KS Part B Supplier - Clinic/Group Practice 4688661804 Receives reassigned benefits from 2 practitioners
Practice locations: Shawnee Mission, KS; Overland Park, KS; Lenexa, KS

National Provider Directory

National Provider Directory

Locations

12330 Metcalf Ave
Ste 400
Overland Park, KS 66213
Phone (913) 317-7990

7450 Kessler St
Ste 150
Overland Park, KS 66204
Phone (913) 677-2508

9100 W 74th St
Ste 356
Shawnee Mission, KS 66204

8901 W 74th St
Ste 356
Shawnee Msn, KS 66204
Phone (913) 677-2508

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124117957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042550",
            "telephone_number": "913-677-2508",
            "fax_number": "913-677-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042550",
            "telephone_number": "913-677-2508",
            "fax_number": "913-677-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWE & FREYALDENHOVEN MDS CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-05",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "BETTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-677-2508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CP4282",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF KANSAS CIT",
            "identifier": "25956010",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "Q670000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS MEDICARE GRP ID",
            "identifier": "111071",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.