Individual provider Active NPI

Corban Wehr

  • Behavior Technician
  • Platte Woods, MO
National Provider Identifier
1396252755
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
6500 NW Tower Dr Ste 100
Platte Woods, MO 64151-4414
Phone
(816) 368-8120
NPI assigned
Jan 8, 2018
Last updated
Jan 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

6500 NW Tower Dr Ste 100
Platte Woods, MO 64151-4414

Mailing address

6500 NW Tower Dr Ste 100
Platte Woods, MO 64151-4414
Phone (816) 368-8120

Other identifiers 1

IdentifierTypeStateIssuer
81-4740830OtherMOTRICARE

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1396252755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 NW TOWER DR STE 100",
            "city": "PLATTE WOODS",
            "state": "MO",
            "postal_code": "641514414",
            "telephone_number": "816-368-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 NW TOWER DR STE 100",
            "city": "PLATTE WOODS",
            "state": "MO",
            "postal_code": "641514414",
            "telephone_number": "816-368-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHR",
        "first_name": "CORBAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "81-4740830",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Platte Woods, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.