Active NPI
Stephen Salanski, MD
- Family Medicine Physician
- Lees Summit, MO
National Provider Identifier
1427090406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36635
- Practice address
- 282 SE Sumpter CT
Lees Summit, MO 64063-3669 - Phone
- (816) 536-3451
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36635 | MO | Primary |
Addresses
Primary practice location
282 SE Sumpter CT
Lees Summit, MO 64063-3669
Mailing address
282 SE Sumpter CT
Lees Summit, MO 64063-3669
Phone (816) 536-3451
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202648325 | Medicaid | MO | |
| 100642510B | Medicaid | KS | |
| 202648317 | Medicaid | MO |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1427090406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 SE SUMPTER CT",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640633669",
"telephone_number": "816-536-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 SE SUMPTER CT",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640633669",
"telephone_number": "816-536-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALANSKI",
"first_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "36635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202648325",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100642510B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202648317",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.