Active NPI
Eric Kilii Malombe
- Driver
- Olathe, KS
National Provider Identifier
1235607698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- K02079019
- Practice address
- 17525 S Roundtree Drive
Olathe, KS 66062 - Phone
- (913) 832-0886
- NPI assigned
- Nov 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | K02079019 | KS | Primary |
Addresses
Primary practice location
17525 S Roundtree Drive
Olathe, KS 66062
Mailing address
17525 S Roundtree Drive
Olathe, KS 66062
Phone (913) 832-0886
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K02079019 | KS | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541289600000",
"number": "1235607698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17525 S ROUNDTREE DRIVE",
"city": "OLATHE",
"state": "KS",
"postal_code": "66062",
"telephone_number": "913-832-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17525 S ROUNDTREE DRIVE",
"city": "OLATHE",
"state": "KS",
"postal_code": "66062",
"telephone_number": "913-832-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALOMBE",
"first_name": "ERIC",
"middle_name": "KILII",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-04",
"last_updated": "2018-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "KS",
"license": "K02079019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.