Active NPI
John C Hall MD PC
- Specialist
- Kansas City, MO
National Provider Identifier
1598080905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R6868
- Legal business name
- JOHN C HALL MD PC
- Practice address
- 4400 Broadway St
Suite 416
Kansas City, MO 64111-3498 - Phone
- (816) 561-7783
- Fax
- (816) 561-7968
- NPI assigned
- Mar 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Charles Hall, M.D.
- Title
- Owner
- Phone
- (816) 561-7783
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | R6868 | MO | Primary |
Addresses
Primary practice location
4400 Broadway St
Suite 416
Kansas City, MO 64111-3498
Mailing address
4400 Broadway St
Suite 416
Kansas City, MO 64111-3498
Phone (816) 561-7783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200429900 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
4400 Broadway Blvd
Ste 416
Kansas City, MO 64111
Phone (816) 561-7783
4400 Broadway Blvd
Ste 316
Kansas City, MO 64111
Phone (816) 561-7783
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Kansas City, MO
- NPI 1285237909
-
- Psychiatry Physician
- Kansas City, MO
- NPI 1295092666
-
- Clinical Psychologist
- Kansas City, MO
- NPI 1750949053
-
- Clinical Psychologist
- Kansas City, MO
- NPI 1477194900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269907200000",
"number": "1598080905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 BROADWAY ST",
"address_2": "SUITE 416",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113498",
"telephone_number": "816-561-7783",
"fax_number": "816-561-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 BROADWAY ST",
"address_2": "SUITE 416",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113498",
"telephone_number": "816-561-7783",
"fax_number": "816-561-7968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C HALL MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-30",
"last_updated": "2010-03-30",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-561-7783",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MO",
"license": "R6868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200429900",
"state": "MO"
}
],
"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 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.