NPIMap

Organization Active NPI

Prime Care LLC

  • Primary Care Clinic/Center
  • Mission, KS
National Provider Identifier
1437855384
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRIME CARE LLC
Practice address
5417 Johnson Dr
Mission, KS 66205-2912
Phone
(913) 261-9479
NPI assigned
Feb 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Deanna Mahoney, DNPNPI 1063709640
Title
Co-Owner
Phone
(913) 261-9479

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5417 Johnson Dr
Mission, KS 66205-2912

Mailing address

5417 Johnson Dr
Mission, KS 66205-2912

National Provider Directory

National Provider Directory

Locations

5417 Johnson Dr
Mission, KS 66205
Phone (816) 841-4865

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": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1437855384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 JOHNSON DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662052912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 JOHNSON DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662052912",
            "telephone_number": "913-261-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "913-261-9479",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.