Active NPI
Hiebert Center, LLC
- Plastic Surgery Physician
- Kansas City, MO
National Provider Identifier
1457545683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 10-7537
- Legal business name
- HIEBERT CENTER, LLC
- Practice address
- 4620 J C Nichols Pkwy Ste 505
Kansas City, MO 64112-1609 - Phone
- (816) 941-6226
- Fax
- (816) 941-6336
- NPI assigned
- Aug 30, 2007
- 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
- Dr. John M Hiebert, MD
- Title
- Owner/Sole Proprietor
- Phone
- (816) 941-6226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 10-7537 | MO | Primary |
Addresses
Primary practice location
4620 J C Nichols Pkwy Ste 505
Kansas City, MO 64112-1609
Mailing address
4620 J C Nichols Pkwy Ste 505
Kansas City, MO 64112-1609
Phone (816) 941-6226
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201506813 | Medicaid | MO | |
| 100177690A | Medicaid | KS |
Other names 1
- John M. Hiebert, MD
National Provider Directory
National Provider DirectoryLocations
4620 J C Nichols Pkwy
Ste 505
Kansas City, MO 64112
Phone (816) 941-6226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244419200000",
"number": "1457545683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 J C NICHOLS PKWY STE 505",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641121609",
"telephone_number": "816-941-6226",
"fax_number": "816-941-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 J C NICHOLS PKWY STE 505",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641121609",
"telephone_number": "816-941-6226",
"fax_number": "816-941-6336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIEBERT CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-30",
"last_updated": "2009-06-08",
"status": "A",
"authorized_official_last_name": "HIEBERT",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
"authorized_official_telephone_number": "816-941-6226",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "MO",
"license": "10-7537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201506813",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100177690A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "John M. Hiebert, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.