Active NPI
Mary Helen Dudley, M.D.
- Forensic Pathology Physician
- Kansas City, MO
National Provider Identifier
1477747459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- Practice address
- 660 E 24TH St
Kansas City, MO 64108-2606 - Phone
- (816) 881-6600
- Fax
- (816) 404-1345
- NPI assigned
- Aug 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 2001010857 | MO | |
| Forensic Pathology Physician | 207ZF0201X | MO | Primary |
Addresses
Primary practice location
660 E 24TH St
Kansas City, MO 64108-2606
Mailing address
7875 W 118TH PL
Overland Park, KS 66210-2546
Phone (913) 499-1520
Other names 1
- Mary Helen Nicodemus
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001010857 | MO | MD | Forensic Pathology Physician |
| 200101857 | MO | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1477747459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7875 W 118TH PL",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102546",
"telephone_number": "913-499-1520",
"fax_number": "913-499-1521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 E 24TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082606",
"telephone_number": "816-881-6600",
"fax_number": "816-404-1345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "MARY",
"middle_name": "HELEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "MO",
"license": "2001010857",
"primary": false
},
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "NICODEMUS",
"middle_name": "HELEN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 31, 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.