Active NPI
Kevin Paul Riordan, PT
- Contractor
- Shawnee, KS
National Provider Identifier
1447377486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 11-02212
- Practice address
- 6826 Acuff St
Shawnee, KS 66216-2107 - Phone
- (913) 268-4007
- Fax
- (913) 993-9149
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 11-02212 | KS | Primary |
Addresses
Primary practice location
6826 Acuff St
Shawnee, KS 66216-2107
Mailing address
6826 Acuff St
Shawnee, KS 66216-2107
Phone (913) 268-4007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-02212 | KS | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447377486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6826 ACUFF ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662162107",
"telephone_number": "913-268-4007",
"fax_number": "913-993-9149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6826 ACUFF ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662162107",
"telephone_number": "913-268-4007",
"fax_number": "913-993-9149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIORDAN",
"first_name": "KEVIN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "KS",
"license": "11-02212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.