Active NPI
Kenneth W Arnett, MD
- Diagnostic Radiology Physician
- Kansas City, MO
National Provider Identifier
1316989452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R6A68
- Practice address
- 2800 Clay Edwards Dr
Kansas City, MO 64116-3220 - Phone
- (816) 691-5201
- NPI assigned
- Jun 12, 2006
- Last updated
- Dec 6, 2011
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R6A68 | MO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 0420669 | KS |
Addresses
Primary practice location
2800 Clay Edwards Dr
Kansas City, MO 64116-3220
Mailing address
PO Box 419380 - Dept 128
Kansas City, MO 64141-6380
Phone (913) 642-4900
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200675840A | Medicaid | KS | |
| 15418011 | Other | MO | BCBSKC |
| 4040685 | Other | MO | AETNA |
| 11520 | Other | MO | CMFHP |
| 203618202 | Medicaid | MO | |
| 300015229 | Other | MO | RR MEDICARE |
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 |
|---|---|---|---|
| 0420669 | KS | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1316989452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419380 - DEPT 128",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641416380",
"telephone_number": "913-642-4900",
"fax_number": "913-381-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 CLAY EDWARDS DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641163220",
"telephone_number": "816-691-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNETT",
"first_name": "KENNETH",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R6A68",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "0420669",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200675840A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSKC",
"identifier": "15418011",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4040685",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMFHP",
"identifier": "11520",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203618202",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300015229",
"state": "MO"
}
],
"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 Dec 6, 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.