Regenexx KC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

REGENEXX KC

Practice address

1300 E 104TH St
Suite 150
Kansas City, MO 64131-4510

Phone

(855) 550-9906

NPI assigned

Jan 15, 2016

Last updated

Apr 17, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

HARBORVIEW HEALTHCARE, INCAs reported in NPPES

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

Authorized official

Name

John Conway

Title

Evp

Phone

(515) 974-7487

Specialties & licenses 1

Addresses

Tax ID family

Harbor View Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Regenexx LLC

  dba Regenexx

  • Physical Medicine & Rehabilitation Physician
  • Des Moines, IA
  • NPI 1134426331
  NPD tax ID

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1417314857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 THORNTON AVE",
            "address_2": "SUITE 400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503212413",
            "telephone_number": "515-422-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 104TH ST",
            "address_2": "SUITE 150",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314510",
            "telephone_number": "855-550-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENEXX KC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBORVIEW HEALTHCARE, INC",
        "enumeration_date": "2016-01-15",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "515-974-7487"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aitene Aymane Refaat
• Reflection of Reality
• Regal Health and Wellness, Inc
• Regal Home Care, LLC
• Jacqueline Regan, LCSW, LSCSW, RPT
• Fredric Gary Regenstein, MD
• Kelli M Regier-Hermon, O.D.
• Randy Edward Regier, D.D.S.
• Regional Foot Centers PA (The Foot Doctor)
• Regional Home Health Care

• Physical Medicine & Rehabilitation Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.