Thomas C Black PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R3026 Issued in MO

Legal business name

THOMAS C BLACK PC

Practice address

1010 Carondelet Dr
Suite 103
Kansas City, MO 64114-4821

Phone

(816) 942-8008

Fax

(816) 942-5314

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas C Black, MD

Title

Owner

Phone

(816) 942-8008

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1487670568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 103",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144821",
            "telephone_number": "816-942-8008",
            "fax_number": "816-942-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 103",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144821",
            "telephone_number": "816-942-8008",
            "fax_number": "816-942-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C BLACK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-942-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R3026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04192051",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Thigoet, ATC, LAT
• Andrew Thill, MD
• Lauren E. Thimgan, WHNP-BC
• Carol Thoma-Perry
• Jordan Thoman, PHARMD
• Thomas Counseling LLC
• Thomas DDS Periodontal Specialists
• Lucy Renae Thomas-Farrell
• Alexandra Paige Thomas, DPT
• Alexis G Thomas, M.D.

• Ophthalmology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.