Active NPI
Signature Medical Group of KC, PA
- Durable Medical Equipment & Medical Supplies
- Overland Park, KS
National Provider Identifier
1124570080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SIGNATURE MEDICAL GROUP OF KC, PA
- Practice address
- 10777 Nall Ave
Suite 300
Overland Park, KS 66211-1362 - Phone
- (913) 642-0200
- Fax
- (913) 563-6699
- NPI assigned
- Oct 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jan Vest
- Title
- Ceo
- Phone
- (314) 849-0311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
10777 Nall Ave
Suite 300
Overland Park, KS 66211-1362
Mailing address
12639 Old Tesson Rd
Suite 100
Saint Louis, MO 63128-2786
Phone (314) 849-0311
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477440000000",
"number": "1124570080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12639 OLD TESSON RD",
"address_2": "SUITE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282786",
"telephone_number": "314-849-0311",
"fax_number": "314-849-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10777 NALL AVE",
"address_2": "SUITE 300",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111362",
"telephone_number": "913-642-0200",
"fax_number": "913-563-6699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIGNATURE MEDICAL GROUP OF KC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A",
"authorized_official_last_name": "VEST",
"authorized_official_first_name": "JAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-849-0311",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.