Organization Active NPI

Mid-America Orthopedics KC LLC

  • Durable Medical Equipment & Medical Supplies
  • Overland Park, KS
National Provider Identifier
1164045126
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MID-AMERICA ORTHOPEDICS KC LLC
Practice address
7820 W 165TH St
Overland Park, KS 66223-2925
Phone
(913) 232-9846
Fax
(913) 232-9817
NPI assigned
May 26, 2020
Last updated
May 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Jarilyn Bolander
Title
Credentialing Specialist
Phone
(913) 232-9846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

7820 W 165TH St
Overland Park, KS 66223-2925

Mailing address

7820 W 165TH St
Overland Park, KS 66223-2925
Phone (913) 232-9846

National Provider Directory

National Provider Directory

Locations

7820 W 165th St
Overland Park, KS 66223
Phone (913) 232-9846

2420 S Limit Ave
Sedalia, MO 65301
Phone (660) 223-0199

Practitioners & affiliated clinicians

Practitioners 4

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": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1164045126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 W 165TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232925",
            "telephone_number": "913-232-9846",
            "fax_number": "913-232-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 W 165TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232925",
            "telephone_number": "913-232-9846",
            "fax_number": "913-232-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA ORTHOPEDICS KC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "BOLANDER",
        "authorized_official_first_name": "JARILYN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "913-232-9846"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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 May 26, 2020; 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.