NPIMap

Organization Active NPI

Kansas City Pediatrics, LLC

  • Pediatric Adolescent Medicine Physician
  • Kansas City, MO
National Provider Identifier
1619078912
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
KANSAS CITY PEDIATRICS, LLC
Practice address
1004 Carondelet Dr
Suite 330
Kansas City, MO 64114-4802
Phone
(816) 941-6400
Fax
(816) 941-6404
NPI assigned
Sep 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tammy Gray
Title
Manager
Phone
(816) 941-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X Primary

Addresses

Primary practice location

1004 Carondelet Dr
Suite 330
Kansas City, MO 64114-4802

Mailing address

1004 Carondelet Dr
Suite 330
Kansas City, MO 64114-4802
Phone (816) 941-6400

National Provider Directory

National Provider Directory

Locations

1004 Carondelet Dr
Ste 330
Kansas City, MO 64114
Phone (816) 914-6400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5617/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619078912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 330",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144802",
            "telephone_number": "816-941-6400",
            "fax_number": "816-941-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 330",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144802",
            "telephone_number": "816-941-6400",
            "fax_number": "816-941-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-941-6400"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.