NPIMap

Organization Active NPI

Kansas City Pain Management PA

  • Interventional Pain Medicine Physician
  • Overland Park, KS
National Provider Identifier
1285920041
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
04-29052 Issued in KS
Legal business name
KANSAS CITY PAIN MANAGEMENT PA
Practice address
8500 W 110TH St
Suite 525
Overland Park, KS 66210-1874
Phone
(913) 339-6300
Fax
(913) 339-6379
NPI assigned
Jun 21, 2011
Last updated
Jun 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Dr. Joseph R Conigliaro, DC
Title
Chief Executive Officer
Phone
(913) 339-6300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-04718 KS
Chiropractor 111N00000X 01-04538 KS
Interventional Pain Medicine Physician 208VP0014X 04-29052 KS Primary

Addresses

Primary practice location

8500 W 110TH St
Suite 525
Overland Park, KS 66210-1874

Mailing address

8500 W 110TH St
Suite 525
Overland Park, KS 66210-1874
Phone (913) 339-6300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1285920041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 W 110TH ST",
            "address_2": "SUITE 525",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101874",
            "telephone_number": "913-339-6300",
            "fax_number": "913-339-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 W 110TH ST",
            "address_2": "SUITE 525",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101874",
            "telephone_number": "913-339-6300",
            "fax_number": "913-339-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY PAIN MANAGEMENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "CONIGLIARO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "913-339-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04718",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04538",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KS",
            "license": "04-29052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.