Organization Active NPI

Living Well Medical Center

  • General Practice Physician
  • Overland Park, KS
National Provider Identifier
1134460165
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Mar 15, 2013

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.