Organization Active NPI

Advanced Cardiovascular Specialists I,LLC

  • Cardiovascular Disease Physician
  • Liberty, MO
National Provider Identifier
1487790267
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ADVANCED CARDIOVASCULAR SPECIALISTS I,LLC
Practice address
1530 N Church Rd
Liberty, MO 64068-7129
Phone
(816) 415-1900
Fax
(816) 415-1800
NPI assigned
Jan 29, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Trina Reavis
Title
Office Manager
Phone
(816) 415-1900

Practitioners 2

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

National Provider Directory

National Provider Directory

Locations

9411 N Oak Trfy
Ste 160
Kansas City, MO 64155
Phone (816) 415-1900

28 Westwoods Dr
Liberty, MO 64068
Phone (816) 415-1900

1530 N Church Rd
Liberty, MO 64068
Phone (816) 415-1900

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1530 N Church Rd
Liberty, MO 64068-7129

Mailing address

1530 N Church Rd
Liberty, MO 64068-7129
Phone (816) 415-1900

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
25313018OtherMOBCBS OF KANSAS CITY GROUP

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2009.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1487790267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N CHURCH RD",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640687129",
            "telephone_number": "816-415-1900",
            "fax_number": "816-415-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N CHURCH RD",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640687129",
            "telephone_number": "816-415-1900",
            "fax_number": "816-415-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIOVASCULAR SPECIALISTS I,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "REAVIS",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-415-1900"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY GROUP",
            "identifier": "25313018",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.