Westport Plaza Medical Group, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WESTPORT PLAZA MEDICAL GROUP, INC

Practice address

4218 Roanoke Rd
Suite 210
Kansas City, MO 64111-3198

Phone

(816) 841-4865

Fax

(816) 841-4801

NPI assigned

Sep 11, 2014

Last updated

Sep 11, 2014By 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

Miss Erin Louisa Bishop

Title

President

Phone

(816) 841-4865

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1225439904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 ROANOKE RD",
            "address_2": "SUITE 210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113198",
            "telephone_number": "816-841-4865",
            "fax_number": "816-841-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 ROANOKE RD",
            "address_2": "SUITE 210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113198",
            "telephone_number": "816-841-4865",
            "fax_number": "816-841-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTPORT PLAZA MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "LOUISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-841-4865",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Westport Plaza Dental Associates
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• Bethany Wetrich, PHD
• Megan Wetschensky, LMSW

• Specialist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.