Active NPI
Advanced Cardiovascular Specialists I,LLC
- Cardiovascular Disease Physician
- Liberty, MO
National Provider Identifier
1487790267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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.
-
- Interventional Cardiology Physician
- Liberty, MO
- NPI 1063409381
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Huntsville, AL
- NPI 1609863927
Cardiovascular Disease
National Provider Directory
National Provider DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25313018 | Other | MO | BCBS 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.