Luke J Dlabal Jr MD PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

M030680 Issued in MO

Legal business name

LUKE J DLABAL JR MD PC

Practice address

3601 NE Ralph Powell Rd
Suite C
Lees Summit, MO 64064-2357

Phone

(816) 347-1514

Fax

(816) 347-1822

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Luke Jacob Dlabal Jr., MD

Title

Owner Physician

Phone

(816) 347-1514

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1609921196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 NE RALPH POWELL RD",
            "address_2": "SUITE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642357",
            "telephone_number": "816-347-1514",
            "fax_number": "816-347-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NE RALPH POWELL RD",
            "address_2": "SUITE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642357",
            "telephone_number": "816-347-1514",
            "fax_number": "816-347-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE J DLABAL JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "DLABAL",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "816-347-1514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "M030680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.