Active NPI
Rockhill Pain Specialists PC
- Pain Medicine Physician
- Kansas City, MO
National Provider Identifier
1396709127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- ROCKHILL PAIN SPECIALISTS PC
- Practice address
- 6675 Holmes Rd
Kansas City, MO 64131 - Phone
- (816) 276-7094
- Fax
- (816) 276-7816
- NPI assigned
- Apr 17, 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
- Mrs. Shirley Ann Dehardt, RN MBA
- Title
- Billing Administrator
- Phone
- (913) 754-0641
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
6675 Holmes Rd
Kansas City, MO 64131
Mailing address
10561 Barkley
Suite 610
Overland Park, KS 66212-1835
Phone (913) 754-0641
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2143025 | Other | UHC | |
| 7307424 | Other | AETNA | |
| 100426990B | Medicaid | KS | |
| CJ2949 | Other | RR MEDICARE | |
| 30200017 | Other | MO | BCBS |
| 505811109 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
10561 Barkley St
Ste 610
Overland Park, KS 66212
2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Independence, MO
- NPI 1285621920
-
- Interventional Pain Medicine Physician
- Overland Park, KS
- NPI 1346237088
-
- Interventional Pain Medicine Physician
- Austin, TX
- NPI 1871529453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313539200000",
"number": "1396709127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10561 BARKLEY",
"address_2": "SUITE 610",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121835",
"telephone_number": "913-754-0641",
"fax_number": "913-754-0646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6675 HOLMES RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64131",
"telephone_number": "816-276-7094",
"fax_number": "816-276-7816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKHILL PAIN SPECIALISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-17",
"last_updated": "2011-08-17",
"status": "A",
"authorized_official_last_name": "DEHARDT",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "BILLING ADMINISTRATOR",
"authorized_official_telephone_number": "913-754-0641",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN MBA"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2143025",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7307424",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100426990B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CJ2949",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "30200017",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "505811109",
"state": "MO"
}
],
"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 Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.