Belton Family Practice Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BELTON FAMILY PRACTICE CLINIC LLC

Practice address

204 E North Ave
Belton, MO 64012-2013

Phone

(816) 331-7744

NPI assigned

May 27, 2006

Last updated

Nov 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Calkins

Title

Group Vice President

Phone

(615) 372-6536

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 14

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.

• Ossama Al-Assafeen, MD

  • Internal Medicine Physician
  • Lebanon, MO
  • NPI 1912078452
  Medicare reassignment Care Compare group NPD
• Kent A Bogner, DO

  • Family Medicine Physician
  • Belton, MO
  • NPI 1295720340
  Medicare reassignment Care Compare group NPD
• Chanteal L Findling, DO

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1619590270
  Medicare reassignment Care Compare group NPD
• Kirk D Ridley, MD

  • Family Medicine Physician
  • Belton, MO
  • NPI 1922093954
  Medicare reassignment Care Compare group NPD
• Marla Lynn Tucker, NP

  • Family Nurse Practitioner
  • Belton, MO
  • NPI 1881928703
  Medicare reassignment Care Compare group NPD
• Rachele Wienecke, FNP

  • Nurse Practitioner
  • Belton, MO
  • NPI 1841016748
  Medicare reassignment Care Compare group NPD
• Daleen Marie Royer, FNP

  • Family Nurse Practitioner
  • Overland Park, KS
  • NPI 1396466850

  MO

  Medicare reassignment Care Compare group NPD
• David R Williams, MD

  • Family Medicine Physician
  • Belton, MO
  • NPI 1275528895
  Medicare reassignment NPD
• Lori A. Groom, ARNP

  • Primary Care Nurse Practitioner
  • Kansas City, MO
  • NPI 1194799916
  NPD (past)
• Purnima Singh Mohan, MD

  • Family Medicine Physician
  • Belton, MO
  • NPI 1275614505
  NPD (past)
• William F Rees II, MD

  • Internal Medicine Physician
  • Lee's Summit, MO
  • NPI 1811952278
  NPD (past)
• Jennifer C Carpenter, MD

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1386619757
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1477500221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E NORTH AVE",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122013",
            "telephone_number": "816-331-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELTON FAMILY PRACTICE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "CALKINS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-6536"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Shawn Bashor, D.C
• Will Everett Baumgartner, PT, DPT
• Carol S Bayless, R.PH.
• Beautiful Savior Home (Beautiul Savior Lutheran Home)
• Belton Dental, LLC (Belton Healthy Smiles)
• Belton School District
• Belton Senior Living Operator, LLC (Carnegie Village)
• Shannon Berry
• Timothy L Blackburn, M.D.
• Frank B Blacknall, DDS

• Family Medicine Physician in Belton, MO
• Providers in Belton, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.