Active NPI
Michael Kenneth Rogers, ARRT,R
- Radiography Radiologic Technologist
- Kearney, MO
National Provider Identifier
1457558504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- 420476
- Practice address
- 13408 Heritage Dr
Kearney, MO 64060-8007 - Phone
- (913) 682-2000
- Fax
- (913) 758-4174
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 420476 | MO | Primary |
Addresses
Primary practice location
13408 Heritage Dr
Kearney, MO 64060-8007
Mailing address
13408 Heritage Dr
Kearney, MO 64060-8007
Phone (913) 682-2000
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 |
|---|---|---|---|
| 420476 | MO | MD | Radiography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457558504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13408 HERITAGE DR",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640608007",
"telephone_number": "913-682-2000",
"fax_number": "913-758-4174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13408 HERITAGE DR",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640608007",
"telephone_number": "913-682-2000",
"fax_number": "913-758-4174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "MICHAEL",
"middle_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "ARRT,R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "MO",
"license": "420476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, MO
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.