Individual provider Active NPI

Kent D Haverkamp, MD

  • Internal Medicine Physician
  • Topeka, KS
National Provider Identifier
1467461269
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-23550 Issued in KS
Practice address
2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone
(785) 267-0744
Fax
(785) 266-3490
NPI assigned
Aug 8, 2006
Last updated
May 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-23550 KS Primary

Addresses

Primary practice location

2909 SE Walnut Dr
Topeka, KS 66605-2189

Mailing address

2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone (785) 267-0744

Other identifiers 1

IdentifierTypeStateIssuer
100143740BMedicaidKS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-23550KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust Internal Medicine Current Accepting new patients
Cotton-O'Neil Clinic Revocable Trust Past Accepting new patients

Locations

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

2909 SE Walnut Dr
Topeka, KS 66605
Phone (785) 267-0744

901 SW Garfield Ave
Topeka, KS 66606

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1467461269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 SE WALNUT DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052189",
            "telephone_number": "785-267-0744",
            "fax_number": "785-266-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 SE WALNUT DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052189",
            "telephone_number": "785-267-0744",
            "fax_number": "785-266-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERKAMP",
        "first_name": "KENT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-23550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100143740B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.