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

Organization subpart

No

Name

Benjamin Calkins

Title

Group Vice President

Phone

(615) 372-6536

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ossama Al-Assafeen, MD

  • Internal Medicine Physician
  • Lebanon, MO
  • NPI 1912078452

  MO

  Medicare reassignment Care Compare group NPD
• Kent A Bogner, DO

  • Family Medicine Physician
  • Belton, MO
  • NPI 1295720340

  Family Medicine, MO

  Medicare reassignment Care Compare group NPD
• Chanteal L Findling, DO

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1619590270

  Family Medicine, MO

  Medicare reassignment Care Compare group NPD
• Kirk D Ridley, MD

  • Family Medicine Physician
  • Belton, MO
  • NPI 1922093954

  Family Medicine, MO

  Medicare reassignment Care Compare group NPD
• Marla Lynn Tucker, NP

  • Family Nurse Practitioner
  • Belton, MO
  • NPI 1881928703

  MO

  Medicare reassignment Care Compare group NPD
• Rachele Wienecke, FNP

  • Nurse Practitioner
  • Belton, MO
  • NPI 1841016748

  MO

  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

  Family Medicine, MO

  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

  Family Medicine

  NPD (past)
• William F Rees II, MD

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

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

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 21, 2025.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100452550A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506091404",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Ann Barney
• Justin Shawn Bashor, D.C
• Will Everett Baumgartner, PT, DPT
• Beautiful Savior Home
• Belton Dental, LLC
• Belton School District
• Belton Senior Living Operator, LLC
• Shannon Berry
• Timothy L Blackburn, M.D.
• Frank B Blacknall, DDS

• All providers in Belton, MO
• 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.