Bone Health Clinic LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

BONE HEALTH CLINIC LLC

Practice address

8889 Bourgade St
Lenexa, KS 66219-1403

Phone

(913) 535-8905

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Carpenter, MDNPI 1366762023

Title

Ceo/Owner

Phone

(248) 797-8905

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 3

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

• Shannon Renea' Carpenter, M.D.

  • Orthopaedic Surgery Physician
  • Kansas City, MO
  • NPI 1366762023

  KS

  Medicare reassignment Care Compare group NPD Authorized official
• Margaret Dietz, FNP

  • Family Nurse Practitioner
  • Lenexa, KS
  • NPI 1780061887
  Medicare reassignment Care Compare group NPD
• Rebecca Clary, DNP

  • Adult Medicine Physician
  • Lenexa, KS
  • NPI 1386373421

  Single Specialty

  NPD

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1497328348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8889 BOURGADE ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191403",
            "telephone_number": "913-535-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8889 BOURGADE ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191403",
            "telephone_number": "913-535-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONE HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "248-797-8905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Boffman
• Kayden Bogart
• Jessica Bohm, LPC
• Jackson Wyatt Boice, MD
• Meredith Bond, MOT, CHT
• Bone Health Clinic, LLC
• Shelby Bonn
• Marissa Bonner
• Jordan Boone
• Elizabeth Boresow, MT-BC

• Orthopaedic Surgery Physician in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Orthopaedic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.