Organization Active NPI

Primary Care North Kansas City LLC

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1518173632
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
106031 Issued in MO
Legal business name
PRIMARY CARE NORTH KANSAS CITY LLC
Practice address
5861 NW 72ND St
Kansas City, MO 64151-1483
Phone
(816) 741-2286
Fax
(816) 587-2436
NPI assigned
May 15, 2007
Last updated
Mar 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Dr. Blake H Donaldson, D.O.NPI 1346207776
Title
Member
Phone
(816) 741-2286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 106031 MO Primary

Addresses

Primary practice location

5861 NW 72ND St
Kansas City, MO 64151-1483

Mailing address

5861 NW 72ND St
Kansas City, MO 64151-1483
Phone (816) 741-2286

National Provider Directory

National Provider Directory

Locations

5861 NW 72nd St
Kansas City, MO 64151
Phone (816) 741-2286

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5793/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1518173632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5861 NW 72ND ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641511483",
            "telephone_number": "816-741-2286",
            "fax_number": "816-587-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5861 NW 72ND ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641511483",
            "telephone_number": "816-741-2286",
            "fax_number": "816-587-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE NORTH KANSAS CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "816-741-2286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "106031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 27, 2013; 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.