Organization Active NPI

KC Podiatry Care PA

  • Podiatrist
  • Prairie Village, KS
National Provider Identifier
1427257534
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
12-00309 Issued in KS
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

Updated by the provider on May 24, 2012

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

Authorized official

Name
Dr. Raphael T Nguyen, DPMNPI 1386796845
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
P00183110OtherKSMEDICARE RAILROAD
114130OtherKSMEDICARE PIN FOR KS NUMBE
26580022OtherKSBCBS
DC6711OtherKSRAILROAD PTAN
S340000OtherKSPTAN
114130OtherKSMEDICARE PROV GROUP# KS
S340000OtherKSMEDICARE PROVIDER GROUP #

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.

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.

Verify at the official NPI Registry.