Organization Active NPI

Stonerock Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Raytown, MO
National Provider Identifier
1568900090
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
21019967 Issued in MO
Legal business name
STONEROCK MEDICAL LLC
Practice address
9620 E 350
Suite 104
Raytown, MO 64133-6682
Phone
(816) 994-3366
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Reed Christianson
Title
Business Manager
Phone
(816) 994-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 21019967 MO Primary

Addresses

Primary practice location

9620 E 350
Suite 104
Raytown, MO 64133-6682

Mailing address

9620 E 350
Suite 104
Raytown, MO 64133-6682
Phone (816) 994-3366

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1568900090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 E 350",
            "address_2": "SUITE 104",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641336682",
            "telephone_number": "816-994-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 E 350",
            "address_2": "SUITE 104",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641336682",
            "telephone_number": "816-994-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEROCK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSON",
        "authorized_official_first_name": "REED",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "816-994-3366"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "21019967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.