Active NPI
Kansas Medical Professionals LLC
- Internal Medicine Physician
- Shawnee Mission, KS
National Provider Identifier
1629778766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KANSAS MEDICAL PROFESSIONALS LLC
- Practice address
- 9100 W 74TH St
Shawnee Mission, KS 66204-4004 - Phone
- (913) 676-2000
- NPI assigned
- Mar 7, 2023
- Last updated
- Jul 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brett R Hailey, MD
- Title
- President
- Phone
- (913) 676-2214
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Mailing address
6300 Ridglea PL Ste 201
Fort Worth, TX 76116-5707
Phone (817) 451-4208
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Shawnee Mission, KS
- NPI 1063411916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688947200000",
"number": "1629778766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 RIDGLEA PL STE 201",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165707",
"telephone_number": "817-451-4208",
"fax_number": "817-563-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 W 74TH ST",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662044004",
"telephone_number": "913-676-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANSAS MEDICAL PROFESSIONALS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-07",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A",
"authorized_official_last_name": "HAILEY",
"authorized_official_first_name": "BRETT",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "913-676-2214",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.