Active NPI
Medbasics Kansas LLC
- Primary Care Clinic/Center
- Overland Park, KS
National Provider Identifier
1609052463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MEDBASICS KANSAS LLC
- Practice address
- 6900 W 135TH St
Overland Park, KS 66223-4800 - Phone
- (913) 685-8900
- Fax
- (913) 685-8906
- NPI assigned
- Jan 10, 2008
- Organization subpart
- Yes
- Parent organization
- MEDBASICS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jodi Krusely
- Title
- Account Manager
- Phone
- (847) 838-3832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
6900 W 135TH St
Overland Park, KS 66223-4800
Mailing address
PO Box 671621
Dallas, TX 75267-1621
Phone (972) 580-7700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199923200000",
"number": "1609052463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 671621",
"city": "DALLAS",
"state": "TX",
"postal_code": "752671621",
"telephone_number": "972-580-7700",
"fax_number": "972-580-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 W 135TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662234800",
"telephone_number": "913-685-8900",
"fax_number": "913-685-8906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDBASICS KANSAS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDBASICS INC",
"enumeration_date": "2008-01-10",
"last_updated": "2008-01-10",
"status": "A",
"authorized_official_last_name": "KRUSELY",
"authorized_official_first_name": "JODI",
"authorized_official_title_or_position": "ACCOUNT MANAGER",
"authorized_official_telephone_number": "847-838-3832"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.