Active NPI
CMC Comprehensive Care Blue Springs LLC
- Multi-Specialty Clinic/Center
- Blue Springs, MO
National Provider Identifier
1174300263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- CMC COMPREHENSIVE CARE BLUE SPRINGS LLC
- Practice address
- 1131 W Main St Ste F
Blue Springs, MO 64015-3611 - Phone
- (816) 229-1941
- Fax
- (816) 229-7085
- NPI assigned
- Sep 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aston Goldsworthy, DC, FNP-BC
- Title
- Owner
- Phone
- (816) 674-2693
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Pain Clinic/Center | 261QP3300X | |||
| Occupational Medicine Clinic/Center | 261QX0100X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
1131 W Main St Ste F
Blue Springs, MO 64015-3611
Mailing address
1131 W Main St Ste F
Blue Springs, MO 64015-3611
Phone (816) 229-1941
Other names 1
- Core Medical Center
National Provider Directory
National Provider DirectoryLocations
1131 W Main St
Ste F
Blue Springs, MO 64015
Phone (816) 229-1941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694476800000",
"number": "1174300263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 W MAIN ST STE F",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153611",
"telephone_number": "816-229-1941",
"fax_number": "816-229-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 W MAIN ST STE F",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153611",
"telephone_number": "816-229-1941",
"fax_number": "816-229-7085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMC COMPREHENSIVE CARE BLUE SPRINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-12",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A",
"authorized_official_last_name": "GOLDSWORTHY",
"authorized_official_first_name": "ASTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-674-2693",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC, FNP-BC"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Core Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.