NPIMap

Organization Active NPI

Tenney Pediatrics and Adolescents Medicine LLC

Doing business as Tenney Pediatrics

  • Specialist
  • Kansas City, MO
National Provider Identifier
1427225200
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R7FO9 Issued in MO
Legal business name
TENNEY PEDIATRICS AND ADOLESCENTS MEDICINE LLC
Doing business as
Tenney Pediatrics
Practice address
6501 E 87TH St
Kansas City, MO 64138-2732
Phone
(816) 444-8400
Fax
(816) 444-8407
NPI assigned
May 12, 2008
Last updated
Oct 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Dr. Jackie Wayne Tenney, M.D.NPI 1073554820
Title
Owner
Phone
(816) 444-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X R7FO9 MO Primary

Addresses

Primary practice location

6501 E 87TH St
Kansas City, MO 64138-2732

Mailing address

6501 E 87TH St
Kansas City, MO 64138-2732
Phone (816) 444-8400

Other identifiers 1

IdentifierTypeStateIssuer
202260527MedicaidMO

Other names 1

  • Tenney Pediatrics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1427225200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E 87TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641382732",
            "telephone_number": "816-444-8400",
            "fax_number": "816-444-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 E 87TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641382732",
            "telephone_number": "816-444-8400",
            "fax_number": "816-444-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNEY PEDIATRICS AND ADOLESCENTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "TENNEY",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-444-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R7FO9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202260527",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tenney Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 28, 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.

Verify at the official NPI Registry.