Active NPI
Richard Adam Parker, COTA
- Skilled Nursing Facility
- Belton, MO
National Provider Identifier
1134482946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2012016603
- Practice address
- 302 W Cambridge Rd
Belton, MO 64012-3170 - Phone
- (816) 853-2538
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2012016603 | MO | Primary |
Addresses
Primary practice location
302 W Cambridge Rd
Belton, MO 64012-3170
Mailing address
302 W Cambridge Rd
Belton, MO 64012-3170
Phone (816) 853-2538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012016603 | MO | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339977600000",
"number": "1134482946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 W CAMBRIDGE RD",
"city": "BELTON",
"state": "MO",
"postal_code": "640123170",
"telephone_number": "816-853-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 W CAMBRIDGE RD",
"city": "BELTON",
"state": "MO",
"postal_code": "640123170",
"telephone_number": "816-853-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "RICHARD",
"middle_name": "ADAM",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2012-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "2012016603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.