Organization Active NPI

Sheldon L Grossman Dpmpc

  • Foot & Ankle Surgery Podiatrist
  • Kansas City, MO
National Provider Identifier
1467637959
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000365 Issued in MO
Legal business name
SHELDON L GROSSMAN DPMPC
Practice address
400 E Red Bridge Rd
Kansas City, MO 64131-4035
Phone
(816) 942-1795
Fax
(816) 942-0782
NPI assigned
Jan 3, 2008
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Sheldon Lee Grossman, DPMPCNPI 1821098427
Title
President
Phone
(816) 942-1795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 000365 MO Primary

Addresses

Primary practice location

400 E Red Bridge Rd
Kansas City, MO 64131-4035

Mailing address

400 E Red Bridge Rd
314
Kansas City, MO 64131-4031
Phone (816) 942-1795

Other identifiers 2

IdentifierTypeStateIssuer
1821098427OtherMONPI-INDIVIDUAL
00741012OtherMOBLULE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

400 E Red Bridge Rd
Ste 314
Kansas City, MO 64131
Phone (816) 892-0474

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1467637959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD",
            "address_2": "314",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314031",
            "telephone_number": "816-942-1795",
            "fax_number": "816-942-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314035",
            "telephone_number": "816-942-1795",
            "fax_number": "816-942-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON L GROSSMAN DPMPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-942-1795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPMPC"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-INDIVIDUAL",
            "identifier": "1821098427",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLULE CROSS BLUE SHIELD",
            "identifier": "00741012",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 8, 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.