Organization Active NPI

Blue Hair Health Care

  • Family Medicine Physician
  • Clayton, MO
National Provider Identifier
1235709015
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLUE HAIR HEALTH CARE
Practice address
120 S Central Ave
Clayton, MO 63105-1705
Phone
(913) 579-5695
NPI assigned
Jun 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Dr. Scott Franklin Avery, DONPI 1427230069
Title
Owner
Phone
(913) 579-5695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

120 S Central Ave
Clayton, MO 63105-1705

Mailing address

20006 W 89TH St
Lenexa, KS 66220-8240
Phone (913) 579-5695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211011000262 MO Part B Supplier - Clinic/Group Practice 9032517784 Receives reassigned benefits from 5 practitioners
Practice locations: Clayton, MO
O20230622002495 KS Part B Supplier - Clinic/Group Practice 9032517784 Receives reassigned benefits from 3 practitioners
Practice locations: Leavenworth, KS; Lenexa, KS

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cascade Health ServicesLeavenworth, KS, CCN 175162 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Apr 29, 2025
Dec 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1235709015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20006 W 89TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662208240",
            "telephone_number": "913-579-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S CENTRAL AVE",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051705",
            "telephone_number": "913-579-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HAIR HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-579-5695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

Verify at the official NPI Registry.