Organization Active NPI

Serc Hand North Inc

Doing business as SERC Hand Metro North

  • Customized Equipment (DME)
  • Kansas City, MO
National Provider Identifier
1225269418
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
004600 Issued in MO
Legal business name
SERC HAND NORTH INC
Doing business as
SERC Hand Metro North
Practice address
8409 N Main St
Kansas City, MO 64155-2426
Phone
(816) 420-0286
Fax
(816) 420-8207
NPI assigned
Aug 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Kristen R Larson, OTR/L, CHT
Title
Clinic Director
Phone
(816) 420-0286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 004600 MO Primary

Addresses

Primary practice location

8409 N Main St
Kansas City, MO 64155-2426

Mailing address

8409 N Main St
Kansas City, MO 64155-2426
Phone (816) 420-0286

Other identifiers 1

IdentifierTypeStateIssuer
39684012OtherMOBCBS OF KC

Other names 1

  • SERC Hand Metro North Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Serc Hand Metro North2 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.

Locations

8409 N Main St
Kansas City, MO 64155
Phone (816) 420-0286

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1225269418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 N MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552426",
            "telephone_number": "816-420-0286",
            "fax_number": "816-420-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 N MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552426",
            "telephone_number": "816-420-0286",
            "fax_number": "816-420-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERC HAND NORTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "816-420-0286",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": "004600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "39684012",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERC Hand Metro North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 5, 2009; 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.