Active NPI
Rheumatology Specialists of Kansas City PA
- Specialist
- Kansas City, MO
National Provider Identifier
1194923607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R9172
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 502982002 | Medicaid | MO | |
| 3208006 | Other | UNITED HEALTHCARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Rheumatology Physician
- Albuquerque, NM
- NPI 1184690364
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.