Organization Active NPI

Kansas City Neurosurgery Group, LLC

  • Neurological Surgery Physician
  • Kansas City, MO
National Provider Identifier
1629013115
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
KANSAS CITY NEUROSURGERY GROUP, LLC
Practice address
4400 Broadway St
Suite 510
Kansas City, MO 64111-3498
Phone
(816) 561-4655
Fax
(816) 561-4746
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Trish Miller
Title
Practice Administrator
Phone
(816) 561-4655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

4400 Broadway St
Suite 510
Kansas City, MO 64111-3498

Mailing address

4400 Broadway St
Suite 510
Kansas City, MO 64111-3498
Phone (816) 561-4655

National Provider Directory

National Provider Directory

Locations

1010 Carondelet Dr
Ste 204
Kansas City, MO 64114
Phone (816) 384-2300

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1629013115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY ST",
            "address_2": "SUITE 510",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-561-4655",
            "fax_number": "816-561-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY ST",
            "address_2": "SUITE 510",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-561-4655",
            "fax_number": "816-561-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY NEUROSURGERY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TRISH",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "816-561-4655"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "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 Apr 19, 2010; 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.