Organization Active NPI

Hiebert Center, LLC

  • Plastic Surgery Physician
  • Kansas City, MO
National Provider Identifier
1457545683
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
10-7537 Issued in MO
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

Updated by the provider on Jun 8, 2009

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
201506813MedicaidMO
100177690AMedicaidKS

Other names 1

  • John M. Hiebert, MD Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.