Organization Active NPI

Jeb Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Kansas City, MO
National Provider Identifier
1245586536
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
LC1242724 Issued in MO
Legal business name
JEB MEDICAL LLC
Practice address
1215 Clay St
Kansas City, MO 64116-4026
Phone
(816) 695-4929
NPI assigned
Jul 24, 2012
Last updated
Sep 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Mr. Brian A King
Title
Principal
Phone
(816) 695-4929

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X LC1242724 MO Primary
Surgical Physician Assistant 363AS0400X NU
Medical-Surgical Clinical Nurse Specialist 364SM0705X NU

Addresses

Primary practice location

1215 Clay St
Kansas City, MO 64116-4026

Mailing address

1215 Clay St
Kansas City, MO 64116-4026
Phone (816) 695-4929

National Provider Directory

National Provider Directory

Locations

1215 Clay St
North Kansas City, MO 64116
Phone (816) 221-4111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1245586536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 CLAY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164026",
            "telephone_number": "816-695-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 CLAY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164026",
            "telephone_number": "816-695-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEB MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "816-695-4929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "LC1242724",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 14, 2012; 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.