Active NPI
Living Well Medical Center
- General Practice Physician
- Overland Park, KS
National Provider Identifier
1134460165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- LIVING WELL MEDICAL CENTER
- Practice address
- 9150 Glenwood St
Overland Park, KS 66212-1364 - Phone
- (913) 341-9797
- NPI assigned
- Mar 15, 2013
- 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
- Stephanie Conger
- Title
- Credentialing Manager
- Phone
- (615) 357-0586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
9150 Glenwood St
Overland Park, KS 66212-1364
Mailing address
9150 Glenwood St
Overland Park, KS 66212-1364
Phone (913) 341-9797
National Provider Directory
National Provider DirectoryLocations
9150 Glenwood St
Overland Park, KS 66212
Phone (913) 381-0609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363305600000",
"number": "1134460165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 GLENWOOD ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121364",
"telephone_number": "913-341-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 GLENWOOD ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121364",
"telephone_number": "913-341-9797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING WELL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-15",
"last_updated": "2013-03-15",
"status": "A",
"authorized_official_last_name": "CONGER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "615-357-0586"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"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 Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.