NPIMap

Organization Active NPI

Kansas City Podiatry Associates, PA

  • Podiatrist
  • Overland Park, KS
National Provider Identifier
1396839593
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
KANSAS CITY PODIATRY ASSOCIATES, PA
Practice address
10600 Quivira Road
Suite 220
Overland Park, KS 66215-2314
Phone
(913) 894-4040
Fax
(913) 438-4725
NPI assigned
Oct 3, 2006
Last updated
Feb 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Jeffrey T Roith, D.P.M.NPI 1285728527
Title
President
Phone
(913) 894-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

10600 Quivira Road
Suite 220
Overland Park, KS 66215-2314

Mailing address

10600 Quivira Road
Suite 220
Overland Park, KS 66215-2314
Phone (913) 894-4040

Other identifiers 3

IdentifierTypeStateIssuer
490218OtherKSBCBS KANSAS
364806307MedicaidMO
22030012OtherBCBS KANSAS CITY

National Provider Directory

National Provider Directory

Locations

9335 W 75th St
Overland Park, KS 66204

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1396839593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 QUIVIRA ROAD",
            "address_2": "SUITE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152314",
            "telephone_number": "913-894-4040",
            "fax_number": "913-438-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 QUIVIRA ROAD",
            "address_2": "SUITE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152314",
            "telephone_number": "913-894-4040",
            "fax_number": "913-438-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY PODIATRY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "ROITH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-894-4040",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS",
            "identifier": "490218",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364806307",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "22030012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.