Individual provider Active NPI

Armisa Tongson Cullens, M.D.

  • Pediatrics Physician
  • Kansas City, MO
National Provider Identifier
1265578751
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R1J85 Issued in MO
Practice address
930 Carondelet Dr
Suite 303
Kansas City, MO 64114-4855
Phone
(816) 941-0440
Fax
(816) 941-9966
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R1J85 MO Primary
Pediatrics Physician 208000000X 0422532 KS

Addresses

Primary practice location

930 Carondelet Dr
Suite 303
Kansas City, MO 64114-4855

Mailing address

14811 W 81St PL
Lenexa, KS 66215-4292
Phone (816) 941-0440

Other identifiers 1

IdentifierTypeStateIssuer
2050070802MedicaidKS

Other names 1

  • Dr. Armisa Culanculan Tongson Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0422532KSMDPediatrics Physician
R1J85MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Pediatrics and Infectious Disease Care LLC Pediatrics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265578751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14811 W 81ST PL",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154292",
            "telephone_number": "816-941-0440",
            "fax_number": "816-941-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CARONDELET DR",
            "address_2": "SUITE 303",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144855",
            "telephone_number": "816-941-0440",
            "fax_number": "816-941-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLENS",
        "first_name": "ARMISA",
        "middle_name": "TONGSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R1J85",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0422532",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050070802",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARMISA",
            "last_name": "TONGSON",
            "middle_name": "CULANCULAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 2007; 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.