Organization Active NPI

Chest and Sleep Institute of Springfield

  • Pulmonary Disease Physician
  • Springfield, MO
National Provider Identifier
1386737211
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
R5J91 Issued in MO
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

Updated by the provider on Jan 15, 2019

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
501963904MedicaidMO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.