Active NPI
Benjamin Tuminez Bondoc, PA-C
- Physician Assistant
- Kansas City, MO
National Provider Identifier
1154218006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2025036081
- Practice address
- 800 W 47TH St Ste 100
Kansas City, MO 64112-1241 - Phone
- (816) 216-7054
- NPI assigned
- Jun 23, 2025
- Last updated
- Oct 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-03142 | KS | |
| Physician Assistant | 363A00000X | 2025036081 | MO | Primary |
Addresses
Primary practice location
800 W 47TH St Ste 100
Kansas City, MO 64112-1241
Mailing address
800 W 47TH St Ste 100
Kansas City, MO 64112-1241
Phone (702) 249-3841
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 |
|---|---|---|---|
| 15-03142 | KS | MD | Physician Assistant |
| 2025036081 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine and Joint Centers of America | Current | Accepting new patients |
Locations
800 W 47th St
Ste 100
Kansas City, MO 64112
Phone (816) 216-7054
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Spine and Joint Centers of Missouri
- Multi-Specialty Clinic/Center
- Kansas City, MO
- NPI 1730946369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759536000000",
"number": "1154218006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W 47TH ST STE 100",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641121241",
"telephone_number": "702-249-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 47TH ST STE 100",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641121241",
"telephone_number": "816-216-7054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONDOC",
"first_name": "BENJAMIN",
"middle_name": "TUMINEZ",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-23",
"last_updated": "2025-10-04",
"certification_date": "2025-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "15-03142",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2025036081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.