Active NPI
Jodi Vangundy, M.D.
- Pediatrics Physician
- Kansas City, MO
National Provider Identifier
1396130688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2018035811
- Practice address
- 9405 N Oak Trfy
Kansas City, MO 64155-2233 - Phone
- (816) 412-2900
- NPI assigned
- Apr 2, 2015
- Sex
- Female
- 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 | 2018035811 | MO | Primary |
Addresses
Primary practice location
9405 N Oak Trfy
Kansas City, MO 64155-2233
Mailing address
13517 E 54TH Ter
Kansas City, MO 64133-7725
Phone (316) 617-7334
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018035811 | MO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1396130688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13517 E 54TH TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641337725",
"telephone_number": "316-617-7334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9405 N OAK TRFY",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641552233",
"telephone_number": "816-412-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGUNDY",
"first_name": "JODI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-02",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MO",
"license": "2018035811",
"primary": true
}
],
"identifiers": [],
"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 Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.