Active NPI
Chest and Sleep Institute of Springfield
- Pulmonary Disease Physician
- Springfield, MO
National Provider Identifier
1386737211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- R5J91
- Legal business name
- CHEST AND SLEEP INSTITUTE OF SPRINGFIELD
- Practice address
- 1540 E Evergreen St
Springfield, MO 65803-4300 - Phone
- (417) 823-2900
- Fax
- (417) 886-2774
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- S. Brian Kim, M.D.
- Title
- President
- Phone
- (417) 886-2747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | R5J91 | MO | Primary |
Addresses
Primary practice location
1540 E Evergreen St
Springfield, MO 65803-4300
Mailing address
1540 E Evergreen St
Springfield, MO 65803-4300
Phone (417) 823-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 501963904 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
620 N Willow St
Harrison, AR 72601
Phone (870) 365-2000
1630 E Primrose St
Springfield, MO 65804
Phone (417) 885-4700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547510400000",
"number": "1386737211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 E EVERGREEN ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658034300",
"telephone_number": "417-823-2900",
"fax_number": "417-886-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 E EVERGREEN ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658034300",
"telephone_number": "417-823-2900",
"fax_number": "417-886-2774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEST AND SLEEP INSTITUTE OF SPRINGFIELD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2019-01-15",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "S.",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "417-886-2747",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "R5J91",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "501963904",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.