Active NPI
Karl John Kurtz, MD
- Urology Physician
- Kansas City, MO
National Provider Identifier
1306905591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 28609
- Practice address
- 4400 Broadway
Suite # 412
Kansas City, MO 64111-3342 - Phone
- (816) 561-7200
- Fax
- (816) 561-7372
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 28609 | MO | Primary |
| Urology Physician | 208800000X | 0414641 | KS |
Addresses
Primary practice location
4400 Broadway
Suite # 412
Kansas City, MO 64111-3342
Mailing address
4400 Broadway
Suite # 412
Kansas City, MO 64111
Phone (816) 561-7200
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0414641 | KS | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306905591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 BROADWAY",
"address_2": "SUITE # 412",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64111",
"telephone_number": "816-561-7200",
"fax_number": "816-561-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 BROADWAY",
"address_2": "SUITE # 412",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113342",
"telephone_number": "816-561-7200",
"fax_number": "816-561-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "KARL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MO",
"license": "28609",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "KS",
"license": "0414641",
"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 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.