Organization Active NPI

Cornerstone Family Care, P.C.

  • Family Medicine Physician
  • North Kansas City, MO
National Provider Identifier
1376515858
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CORNERSTONE FAMILY CARE, P.C.
Practice address
2750 Clay Edwards Dr
Suite 612
North Kansas City, MO 64116-3237
Phone
(816) 221-7744
Fax
(816) 221-7755
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Brenda HaneyNPI 1871577791
Title
Practice Manager
Phone
(816) 221-7744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MO Primary

Addresses

Primary practice location

2750 Clay Edwards Dr
Suite 612
North Kansas City, MO 64116-3237

Mailing address

2750 Clay Edwards Dr
Suite 612
North Kansas City, MO 64116-3237
Phone (816) 221-7744

National Provider Directory

National Provider Directory

Locations

2750 Clay Edwards Dr
Ste 612
North Kansas City, MO 64116
Phone (816) 221-7744

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1376515858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR",
            "address_2": "SUITE 612",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163237",
            "telephone_number": "816-221-7744",
            "fax_number": "816-221-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR",
            "address_2": "SUITE 612",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163237",
            "telephone_number": "816-221-7744",
            "fax_number": "816-221-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FAMILY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "816-221-7744"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.