Organization Active NPI

James K. McEntire, D.O., P.C.

Doing business as Preferred Pediatrics

  • Primary Care Clinic/Center
  • Lee's Summit, MO
National Provider Identifier
1215198023
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JAMES K. MCENTIRE, D.O., P.C.
Doing business as
Preferred Pediatrics
Practice address
241 NW McNary CT
Lees Summit, MO 64086-4011
Phone
(816) 347-0064
Fax
(816) 347-0593
NPI assigned
Jun 24, 2008
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Kelly Jean McEntire
Title
Secrectary of Corporation
Phone
(816) 347-0064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

241 NW McNary CT
Lees Summit, MO 64086-4011

Mailing address

241 NW McNary CT
Lees Summit, MO 64086-4011
Phone (816) 347-0064

Other identifiers 14

IdentifierTypeStateIssuer
61581OtherMOHEALTHCARE USA, SHERRI QUICK, RN, CPNP
A0529165OtherKSUNICARE, DR. MCENTIRE
100419760CMedicaidKS
39784OtherMOHEALTHCARE USA , DR. GRAHAM
700856OtherMOMERCY CAREPLUS, SHERRI QUICK, RN, CPNP
205839806MedicaidMO
248124828MedicaidMO
29963014OtherMOBLUE CROSS BLUE SHIELD OF KANSAS CITY
890907OtherMOMERCY CAREPLUS, DR. GRAHAM
33338OtherMOHEALTHCARE USA
420629800MedicaidMO
890896OtherMOMERCY CAREPLUS, DR. MCENTIRE
A0429720OtherKSUNICARE, DR. GRAHAM
100380340CMedicaidKS

Other names 1

  • Preferred Pediatrics Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: adriennemenghini@ppllc.allscriptsdirect.net
  • Direct secure messaging: jamesmcentire@ppllc.allscriptsdirect.net
  • Direct secure messaging: jaredpalfreeman@ppllc.allscriptsdirect.net
  • Direct secure messaging: noelgraham@ppllc.allscriptsdirect.net
  • Direct secure messaging: sherriquick@ppllc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 7

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": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1215198023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 NW MCNARY CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864011",
            "telephone_number": "816-347-0064",
            "fax_number": "816-347-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 NW MCNARY CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864011",
            "telephone_number": "816-347-0064",
            "fax_number": "816-347-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES K. MCENTIRE, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "MCENTIRE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "SECRECTARY OF CORPORATION",
        "authorized_official_telephone_number": "816-347-0064"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA, SHERRI QUICK, RN, CPNP",
            "identifier": "61581",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE, DR. MCENTIRE",
            "identifier": "A0529165",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100419760C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA , DR. GRAHAM",
            "identifier": "39784",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CAREPLUS, SHERRI QUICK, RN, CPNP",
            "identifier": "700856",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205839806",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248124828",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF KANSAS CITY",
            "identifier": "29963014",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CAREPLUS, DR. GRAHAM",
            "identifier": "890907",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "33338",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420629800",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CAREPLUS, DR. MCENTIRE",
            "identifier": "890896",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE, DR. GRAHAM",
            "identifier": "A0429720",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100380340C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.