Developmental Disabilities Resource Board of Clay County

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

0679143 Issued in MO

Legal business name

DEVELOPMENTAL DISABILITIES RESOURCE BOARD OF CLAY COUNTY

Practice address

920 Kent St
Suite B
Liberty, MO 64068-2237

Phone

(816) 792-5255

Fax

(816) 792-1818

NPI assigned

Nov 15, 2007

Last updated

Nov 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Washburn

Title

Executive Director

Phone

(816) 792-5255

Specialties & licenses 1

Addresses

Tax ID family

Developmental Disabilities Resource Board of Clay County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Developmental Disabilities Resource Board of Clay County

  • Case Management Agency
  • Liberty, MO
  • NPI 1003186156
  NPD tax ID

Locations

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1225219512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 KENT ST",
            "address_2": "SUITE B",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682237",
            "telephone_number": "816-792-5255",
            "fax_number": "816-792-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 KENT ST",
            "address_2": "SUITE B",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682237",
            "telephone_number": "816-792-5255",
            "fax_number": "816-792-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL DISABILITIES RESOURCE BOARD OF CLAY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-792-5255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MO",
            "license": "0679143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K. Deiparine, M.D.
• Abdulrahman B Derbas, AA
• Jennifer Derbish, PHARM.D.
• Brook A Derenzy, D.D.S.
• Developmental Disabilities Resource Board of Clay County
• Jennifer He Diebolt, MD
• Margaret Anne Dietz
• Marc Christopher Dipoto, LPC
• Brianna Dishman
• Kathleen Distasio

• Non-emergency Medical Transport (VAN) in Liberty, MO
• Providers in Liberty, MO by specialty
• Non-emergency Medical Transport (VAN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.