Organization Active NPI

Rheumatology Specialists of Kansas City PA

  • Specialist
  • Kansas City, MO
National Provider Identifier
1194923607
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R9172 Issued in MO
Legal business name
RHEUMATOLOGY SPECIALISTS OF KANSAS CITY PA
Practice address
450 E 4TH St
#200
Kansas City, MO 64106-1170
Phone
(816) 753-5736
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Mrs. Mary L Wiens
Title
Office Manager
Phone
(816) 753-5736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X R9172 MO Primary

Addresses

Primary practice location

450 E 4TH St
#200
Kansas City, MO 64106-1170

Mailing address

450 E 4TH St
#200
Kansas City, MO 64106-1170

Other identifiers 2

IdentifierTypeStateIssuer
502982002MedicaidMO
3208006OtherUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Locations

450 E 4th St
Ste 200
Kansas City, MO 64106
Phone (816) 753-5736

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1194923607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E 4TH ST",
            "address_2": "#200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641061170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 4TH ST",
            "address_2": "#200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641061170",
            "telephone_number": "816-753-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY SPECIALISTS OF KANSAS CITY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-753-5736",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R9172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502982002",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3208006",
            "state": null
        }
    ],
    "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 Apr 30, 2018; 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.