Active NPI
KC Pain Centers, LLC
- Pain Medicine Physician
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- KC PAIN CENTERS, LLC
- Practice address
- 200 NE Missouri Rd
Suite 103
Lees Summit, MO 64086-4722 - Phone
- (816) 763-1559
- Fax
- (816) 965-8404
- NPI assigned
- Nov 4, 2005
- Last updated
- Mar 24, 2021
- Organization subpart
- Yes
- Parent organization
- ANESTHESIA ASSOCIATES OF KANSAS CITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan J. Grindstaff, MD, PHD
- Title
- President
- Phone
- (913) 428-2900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
200 NE Missouri Rd
Suite 103
Lees Summit, MO 64086-4722
Mailing address
8717 W 110TH St
Suite 600
Overland Park, KS 66210-2144
Phone (913) 428-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1075971 | KC Pain Centers | Accreditation | Apr 5, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- KC Pain Center LLC
- Part of
- Anes Assoc of KC Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine Physician
- Overland Park, KS
- NPI 1598297343
Locations
7651 W 159th St
Ste 200
Overland Park, KS 66223
2100 Baptiste Dr
Paola, KS 66071
Phone (913) 294-2327
1300 E 104th St
Ste 100
Kansas City, MO 64131
Phone (816) 767-3263
2790 Clay Edwards Dr
Fl 7
Kansas City, MO 64116
Phone (816) 691-5229
200 NE Missouri Rd
Ste 103
Lees Summit, MO 64086
200 NE Missouri Rd
Ste 300
Lees Summit, MO 64086
Phone (816) 839-9426
200 NE Missouri Rd
Ste 306
Lees Summit, MO 64086
Phone (816) 768-6000
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba KC Pain Centers
- Pain Medicine Physician
- Independence, MO
- NPI 1467443614
Practitioners & affiliated clinicians
Practitioners 19
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.
-
- Pain Medicine (Anesthesiology) Physician
- Lee's Summit, MO
- NPI 1467438010
KS
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1477600351
-
- Pain Medicine (Anesthesiology) Physician
- Liberty, MO
- NPI 1972728582
-
- Anesthesiology Physician
- Independence, MO
- NPI 1275515314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616544000000",
"number": "1144211384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 W 110TH ST",
"address_2": "SUITE 600",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102144",
"telephone_number": "913-428-2900",
"fax_number": "913-428-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NE MISSOURI RD",
"address_2": "SUITE 103",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640864722",
"telephone_number": "816-763-1559",
"fax_number": "816-965-8404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KC PAIN CENTERS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ANESTHESIA ASSOCIATES OF KANSAS CITY",
"enumeration_date": "2005-11-04",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A",
"authorized_official_last_name": "GRINDSTAFF",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "913-428-2900",
"authorized_official_credential": "MD, PHD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.