Brian K Haith, DPM PA

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

12-00272 Issued in KS

Practice address

4319 W 111TH Ter
Leawood, KS 66211-1701

Phone

(913) 648-7440

Fax

(913) 648-7440

NPI assigned

Feb 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr. Brian K Haith Professional name

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brian K. Haith DPM PA

  • Primary Podiatric Medicine Podiatrist
  • Leawood, KS
  • NPI 1396952990

  MO

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1598731002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662070310",
            "telephone_number": "913-648-7440",
            "fax_number": "913-648-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 W 111TH TER",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111701",
            "telephone_number": "913-648-7440",
            "fax_number": "913-648-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAITH",
        "first_name": "BRIAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DPM PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "KS",
            "license": "12-00272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "22357013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308946508",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRPTAN",
            "identifier": "480032592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "HAITH",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "DPM PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Primary Podiatric Medicine Podiatrist in Leawood, KS
• Providers in Leawood, KS by specialty
• Primary Podiatric Medicine Podiatrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.