Organization Active NPI

KC Specialties Occupational Health

  • Clinic/Center
  • Independence, MO
National Provider Identifier
1629702741
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KC SPECIALTIES OCCUPATIONAL HEALTH
Practice address
4741 S Arrowhead Dr
Independence, MO 64055-6957
Phone
(816) 795-6000
NPI assigned
Jul 14, 2022
Last updated
Jul 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Mr. Jonathan Melendez
Title
Office Manager
Phone
(816) 795-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

4741 S Arrowhead Dr
Independence, MO 64055-6957

Mailing address

4741 S Arrowhead Dr
Independence, MO 64055-6957
Phone (816) 795-6000

Other identifiers 1

IdentifierTypeStateIssuer
1780957290OtherMOOCCUPATIONAL MEDICINE WORKERS COMPENSATION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1629702741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 S ARROWHEAD DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556957",
            "telephone_number": "816-795-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 S ARROWHEAD DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556957",
            "telephone_number": "816-795-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC SPECIALTIES OCCUPATIONAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-795-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL MEDICINE WORKERS COMPENSATION",
            "identifier": "1780957290",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.