Active NPI
Deborah Ann Jantsch, MD
- Obstetrics & Gynecology Physician
- Kansas City, MO
National Provider Identifier
1215914734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- R4N05
- Practice address
- 825 Euclid Ave
Kansas City, MO 64124-2323 - Phone
- (816) 474-4920
- Fax
- (816) 889-1836
- NPI assigned
- Dec 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 0435757 | KS | |
| Obstetrics & Gynecology Physician | 207V00000X | R4N05 | MO | Primary |
Addresses
Primary practice location
825 Euclid Ave
Kansas City, MO 64124-2323
Mailing address
825 Euclid Ave
Kansas City, MO 64124-2323
Phone (816) 474-4920
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R4N05 | Other | MO | MISSOURI BOARD OF HEALING ARTS |
| 0435757 | Other | KS | KANSAS BOARD OF HEALING ARTS |
| 208257808 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0435757 | KS | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1215914734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 EUCLID AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641242323",
"telephone_number": "816-474-4920",
"fax_number": "816-889-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 EUCLID AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641242323",
"telephone_number": "816-474-4920",
"fax_number": "816-889-1836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANTSCH",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "KS",
"license": "0435757",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "R4N05",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI BOARD OF HEALING ARTS",
"identifier": "R4N05",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS BOARD OF HEALING ARTS",
"identifier": "0435757",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208257808",
"state": "MO"
}
],
"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 Jan 8, 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.