Wellbodykc, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WELLBODYKC, LLC

Practice address

2111 E Kansas City Rd
Olathe, KS 66061-7050

Phone

(913) 220-5724

Fax

(913) 222-1907

NPI assigned

Jul 29, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Randall Goldstein, DONPI 1700802295

Title

Owner

Phone

(913) 220-5724

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Randall Aaron Goldstein, DO

  • Pediatrics Physician
  • Olathe, KS
  • NPI 1700802295
  NPD Authorized official

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1285360404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14375 NW 63RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641528701",
            "telephone_number": "913-220-5724",
            "fax_number": "913-222-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E KANSAS CITY RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617050",
            "telephone_number": "913-220-5724",
            "fax_number": "913-222-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBODYKC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-220-5724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Everett Weigel, OD
• Rebecca Weiler, LMSW
• Brittanie B Weinhaus, DO
• Well Balanced LLC
• Well Bellies & Babies, LLC
• Denise Brown Weller, MSW, LSCSW, LCSW
• Joseph Welling, DPT
• Amanda Wells
• Melinda S Wells, ARNP
• Ashlee Welter, RD, LD

• Pediatrics Physician in Olathe, KS
• Providers in Olathe, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.