Organization Active NPI

Neurology Clinic LLC

  • Neurology Physician
  • Parsons, KS
National Provider Identifier
1548407752
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0426110 Issued in KS
Legal business name
NEUROLOGY CLINIC LLC
Practice address
3101 Main St
Parsons, KS 67357-2649
Phone
(620) 421-3392
Fax
(620) 421-5745
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Dr. Devendra K. Jain, MD
Title
Owner
Phone
(620) 421-3392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 0426110 KS Primary

Addresses

Primary practice location

3101 Main St
Parsons, KS 67357-2649

Mailing address

3101 Main St
PO Box 236
Parsons, KS 67357-2649
Phone (620) 421-3392

Other identifiers 1

IdentifierTypeStateIssuer
100184970CMedicaidKS

National Provider Directory

National Provider Directory

Locations

11881 W 112th St
Ste 101B
Overland Park, KS 66210

3101 Main St
Parsons, KS 67357

1 Med Center Cir
Ste C
Pittsburg, KS 66762

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1548407752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 MAIN ST",
            "address_2": "PO BOX 236",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673572649",
            "telephone_number": "620-421-3392",
            "fax_number": "620-421-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 MAIN ST",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673572649",
            "telephone_number": "620-421-3392",
            "fax_number": "620-421-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "DEVENDRA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-421-3392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "0426110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100184970C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.