The Mastectomy Center

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CFM01450 Issued in MO

Legal business name

THE MASTECTOMY CENTER

Practice address

4201 S Noland Rd
Suite I
Independence, MO 64055-7313

Phone

(816) 373-3447

Fax

(816) 373-3447

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dixie N Stretz

Title

Co Owner

Phone

(816) 373-3447

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245363076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S NOLAND RD",
            "address_2": "SUITE I",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557313",
            "telephone_number": "816-373-3447",
            "fax_number": "816-373-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S NOLAND RD",
            "address_2": "SUITE I",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557313",
            "telephone_number": "816-373-3447",
            "fax_number": "816-373-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MASTECTOMY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRETZ",
        "authorized_official_first_name": "DIXIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "816-373-3447"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MO",
            "license": "CFM01450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36532017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Baptist Home (Baptist Homes & Healthcare Ministries)
• The Groves (Groves Community Hospice)
• The Groves (Rosewood Health Care)
• The Highlands Anesthesia PC
• The Highlands Surgery Center, LLC
• The Outlet Place for Women (Outlet Place for Women The)
• The Rehabilitation Center of Independence, LLC (The Rehabilitation Center of Independence)
• The Watson Center, LLC
• Yvonne Geniene Thibault, L.P.C.
• Ellis Thigpen, D.D.S.

• Prosthetic/Orthotic Supplier in Independence, MO
• Providers in Independence, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.