Organization Active NPI

Gerhard W Cibis MD PC

  • Optometrist
  • Kansas City, MO
National Provider Identifier
1376619635
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GERHARD W CIBIS MD PC
Practice address
4620 J C Nichols Pkwy
421
Kansas City, MO 64112-1617
Phone
(816) 561-0306
Fax
(816) 531-7166
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deneane Thompson
Title
Practice Coordinator
Phone
(913) 491-0765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4620 J C Nichols Pkwy
421
Kansas City, MO 64112-1617

Mailing address

4620 J C Nichols Pkwy
421
Kansas City, MO 64112-1617
Phone (816) 561-0306

Other identifiers 1

IdentifierTypeStateIssuer
08196015OtherMOBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

11548 W 135th St
Overland Park, KS 66221
Phone (816) 561-0306

4620 J C Nichols Pkwy
Ste 421
Kansas City, MO 64112
Phone (816) 561-0306

Practitioners & affiliated clinicians

Practitioners 9

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376619635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 J C NICHOLS PKWY",
            "address_2": "421",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121617",
            "telephone_number": "816-561-0306",
            "fax_number": "816-531-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 J C NICHOLS PKWY",
            "address_2": "421",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121617",
            "telephone_number": "816-561-0306",
            "fax_number": "816-531-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERHARD W CIBIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DENEANE",
        "authorized_official_title_or_position": "PRACTICE COORDINATOR",
        "authorized_official_telephone_number": "913-491-0765"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08196015",
            "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 Aug 22, 2020; 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.