Ubac Enterprises, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

LC0699660 Issued in MO

Legal business name

UBAC ENTERPRISES, LLC

Practice address

9804 Booth Ave
Kansas City, MO 64134-1810

Phone

(816) 765-7794

Fax

(816) 765-7794

NPI assigned

Oct 15, 2010

Organization subpart

No

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

Authorized official

Name

Cheryl Johnson

Title

President

Phone

(816) 765-7794

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1639489347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9804 BOOTH AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641341810",
            "telephone_number": "816-765-7794",
            "fax_number": "816-765-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9804 BOOTH AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641341810",
            "telephone_number": "816-765-7794",
            "fax_number": "816-765-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBAC ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-765-7794"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "LC0699660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Typher, MD
• Amanda Fay Tyrell, LMSW
• Ourania Elizabeth Tzianos, PLPC
• U.S. Healthworks Medical Group of Kansas City, PA
• U.S. Healthworks Medical Group of Kansas City, PA
• Aamer Ubaid, MD
• Jimena Del Pilar Ubillus
• Asif A Uddin, M.D.
• Jocelyn Joy Uecker
• Tatyana Uglova

• Durable Medical Equipment & Medical Supplies in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.