Active NPI
Mpact Associates Inc.
- Registered Dietitian
- Lees Summit, MO
National Provider Identifier
1437867058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- MPACT ASSOCIATES INC.
- Practice address
- 312 SW Greenwich Dr # 174
Lees Summit, MO 64082-4408 - Phone
- (816) 867-0867
- NPI assigned
- Nov 11, 2022
- 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
- Kelvin Dam
- Title
- Manager
- Phone
- (816) 867-0867
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Pediatric Critical Care Nutrition Registered Dietitian | 133VN1401X | |||
| Health & Wellness Coach | 171400000X |
Addresses
Primary practice location
312 SW Greenwich Dr # 174
Lees Summit, MO 64082-4408
Mailing address
312 SW Greenwich Dr # 174
Lees Summit, MO 64082-4408
Phone (816) 867-0867
National Provider Directory
National Provider DirectoryLocations
312 SW Greenwich Dr
Lees Summit, MO 64082
Phone (515) 444-8642
5900 Balcones Dr
Ste 10114
Austin, TX 78731
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": "1668124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693612800000",
"number": "1437867058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 SW GREENWICH DR # 174",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640824408",
"telephone_number": "816-867-0867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 SW GREENWICH DR # 174",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640824408",
"telephone_number": "816-867-0867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MPACT ASSOCIATES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-11",
"last_updated": "2023-09-02",
"certification_date": "2023-09-02",
"status": "A",
"authorized_official_last_name": "DAM",
"authorized_official_first_name": "KELVIN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "816-867-0867"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric Critical Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 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.