Individual provider Active NPI

Christopher Michael Daggett, D.O.

  • Surgery Physician
  • Lee's Summit, MO
National Provider Identifier
1306846092
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R8872 Issued in MO
Practice address
3460 NE Ralph Powell Rd
Lees Summit, MO 64064-2361
Phone
(816) 246-0800
Fax
(816) 246-6613
NPI assigned
Jul 26, 2005
Last updated
Jun 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R8872 MO Primary

Addresses

Primary practice location

3460 NE Ralph Powell Rd
Lees Summit, MO 64064-2361

Mailing address

3460 NE Ralph Powell Rd
Lees Summit, MO 64064-2361
Phone (816) 246-0800

Other identifiers 1

IdentifierTypeStateIssuer
214851302MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090106000592 MO Practitioner - General Surgery 8921081647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R8872MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgical Associates Surgery CurrentSince Nov 1, 2008 Accepting new patients
Daggett & Kramer,DO,LLC Surgery PastSince Jul 17, 2000 Accepting new patients

Locations

2861 NE Independence Ave
Lees Summit, MO 64064
Phone (816) 246-0800

2861 NE Independence Ave
Ste 205
Lees Summit, MO 64064
Phone (816) 246-0800

3460 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 246-0800

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1306846092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642361",
            "telephone_number": "816-246-0800",
            "fax_number": "816-246-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642361",
            "telephone_number": "816-246-0800",
            "fax_number": "816-246-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGGETT",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "R8872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214851302",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.