Elite Spine Care of Kansas City, LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

ELITE SPINE CARE OF KANSAS CITY, LLC

Practice address

4911 W 87TH Ter
Prairie Village, KS 66207-2271

Phone

(913) 649-7300

NPI assigned

May 13, 2020

Last updated

May 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenn Amundson

Title

Owner

Phone

(913) 649-7300

Specialties & licenses 1

Addresses

Other names 1

• Glenn M. Amundson Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1447872346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017426",
            "telephone_number": "312-796-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 W 87TH TER",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072271",
            "telephone_number": "913-649-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPINE CARE OF KANSAS CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "AMUNDSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-649-7300"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenn M. Amundson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cara Christine Edwards
• Julie Edwards, M.S., CCC-SLP
• Christopher Jay Ehly, MD
• Catherine A Eib, APRN
• McKenna Elfrink
• Elizabeth Kaufman Therapy
• Elizabeth Volk, MD PA
• Emergency Dental of Kansas City, LLC
• Empower Counseling Services Inc
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• Sports Medicine (Orthopaedic Surgery) Physician in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.