Active NPI
KC Podiatry Care PA
- Podiatrist
- Prairie Village, KS
National Provider Identifier
1427257534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 12-00309
- Legal business name
- KC PODIATRY CARE PA
- Practice address
- 7301 Mission Rd
Ste 152
Prairie Village, KS 66208-3014 - Phone
- (913) 432-2000
- NPI assigned
- Jul 18, 2007
- 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
- Dr. Raphael T Nguyen, DPM
- Title
- President Podiatrist
- Phone
- (913) 432-2000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 12-00309 | KS | Primary |
Addresses
Primary practice location
7301 Mission Rd
Ste 152
Prairie Village, KS 66208-3014
Mailing address
7301 Mission Rd
Ste 152
Prairie Village, KS 66208-3014
Phone (913) 432-2000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00183110 | Other | KS | MEDICARE RAILROAD |
| 114130 | Other | KS | MEDICARE PIN FOR KS NUMBE |
| 26580022 | Other | KS | BCBS |
| DC6711 | Other | KS | RAILROAD PTAN |
| S340000 | Other | KS | PTAN |
| 114130 | Other | KS | MEDICARE PROV GROUP# KS |
| S340000 | Other | KS | MEDICARE PROVIDER GROUP # |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Prairie Village, KS
- NPI 1386796845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337817600000",
"number": "1427257534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 MISSION RD",
"address_2": "STE 152",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083014",
"telephone_number": "913-432-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 MISSION RD",
"address_2": "STE 152",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083014",
"telephone_number": "913-432-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KC PODIATRY CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-18",
"last_updated": "2012-05-24",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "RAPHAEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT PODIATRIST",
"authorized_official_telephone_number": "913-432-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "KS",
"license": "12-00309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00183110",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN FOR KS NUMBE",
"identifier": "114130",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "26580022",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD PTAN",
"identifier": "DC6711",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "S340000",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROV GROUP# KS",
"identifier": "114130",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER GROUP #",
"identifier": "S340000",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.