NPIMap

Organization Active NPI

Donner Summit, LLC

Doing business as Thrive Pediatrics

  • Pediatrics Physician
  • Kansas City, MO
National Provider Identifier
1619404829
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2010037363 Issued in MO
Legal business name
DONNER SUMMIT, LLC
Doing business as
Thrive Pediatrics
Practice address
9151 NE 81St Ter Ste 240
Kansas City, MO 64158-1307
Phone
(816) 977-3291
NPI assigned
May 18, 2017
Last updated
Aug 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

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

Authorized official

Name
Dr. John Billharz, MDNPI 1144458514
Title
Owner
Phone
(816) 977-3291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2010037363 MO Primary

Addresses

Primary practice location

9151 NE 81St Ter Ste 240
Kansas City, MO 64158-1307

Mailing address

9151 NE 81St Ter Suite 240
Kansas City, MO 64158
Phone (816) 977-3291

Other identifiers 1

IdentifierTypeStateIssuer
1144458514MedicaidMO

Other names 1

  • Thrive Pediatrics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1619404829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 NE 81ST TER SUITE 240",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64158",
            "telephone_number": "816-977-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 NE 81ST TER STE 240",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581307",
            "telephone_number": "816-977-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNER SUMMIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-08-11",
        "status": "A",
        "authorized_official_last_name": "BILLHARZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-977-3291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2010037363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144458514",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2017; 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.