Active NPI
Alan E Powell, MD
- Pediatrics Physician
- Lees Summit, MO
National Provider Identifier
1376654772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R3870
- Practice address
- 3151 NE Carnegie Drive
Suite B
Lees Summit, MO 64064-3215 - Phone
- (816) 525-2800
- Fax
- (816) 525-4077
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R3870 | MO | Primary |
Addresses
Primary practice location
3151 NE Carnegie Drive
Suite B
Lees Summit, MO 64064-3215
Mailing address
3151 NE Carnegie Drive
Suite B
Lees Summit, MO 64064-3215
Phone (816) 525-2800
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3870 | MO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1376654772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3151 NE CARNEGIE DRIVE",
"address_2": "SUITE B",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640643215",
"telephone_number": "816-525-2800",
"fax_number": "816-525-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 NE CARNEGIE DRIVE",
"address_2": "SUITE B",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640643215",
"telephone_number": "816-525-2800",
"fax_number": "816-525-4077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ALAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "R3870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.