Organization Active NPI

General Kansas Telemedicine LLC

  • Family Medicine Physician
  • Kansas City, KS
National Provider Identifier
1154041788
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GENERAL KANSAS TELEMEDICINE LLC
Practice address
852 Minnesota Ave
Kansas City, KS 66101-2609
Phone
(913) 549-4184
NPI assigned
Sep 1, 2022
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jose Flores, MDNPI 1184997876
Title
Director
Phone
(832) 538-9188

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

852 Minnesota Ave
Kansas City, KS 66101-2609

Mailing address

852 Minnesota Ave
Kansas City, KS 66101-2609
Phone (913) 549-4184

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2243474General Kansas Telemedicine LLC852 Minnesota Ave, Kansas City, KS 66101Certificate of waiverNov 17, 2027

National Provider Directory

National Provider Directory

Locations

852 Minnesota Ave
Kansas City, KS 66101
Phone (210) 886-8666

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1154041788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 MINNESOTA AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012609",
            "telephone_number": "913-549-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 MINNESOTA AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012609",
            "telephone_number": "913-549-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL KANSAS TELEMEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-538-9188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.