Organization Active NPI

Cradle Thru College Care, LLC

  • Pediatrics Physician
  • Kansas City, MO
National Provider Identifier
1649408287
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CRADLE THRU COLLEGE CARE, LLC
Practice address
1004 Carondelet Dr
Suite 310
Kansas City, MO 64114-4801
Phone
(816) 942-5437
Fax
(816) 942-4830
NPI assigned
Jun 22, 2009
Organization subpart
Yes
Parent organization
CRADLE THRU COLLEGE CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Kurt Metzl, M.D.
Title
Managing Partner
Phone
(816) 942-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1004 Carondelet Dr
Suite 310
Kansas City, MO 64114-4801

Mailing address

1004 Carondelet Dr
Suite 310
Kansas City, MO 64114-4801
Phone (816) 942-5437

Other names 1

  • Cradle Thru College Care Urgent Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Cradle Thru College Care LLC2 organizations share this tax ID, including this one
Part of
Cradle Thru College Care LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1004 Carondelet Dr
Ste 310
Kansas City, MO 64114
Phone (816) 942-5437

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1649408287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 310",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144801",
            "telephone_number": "816-942-5437",
            "fax_number": "816-942-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 310",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144801",
            "telephone_number": "816-942-5437",
            "fax_number": "816-942-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRADLE THRU COLLEGE CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRADLE THRU COLLEGE CARE, LLC",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "METZL",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "816-942-5437",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cradle Thru College Care Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 22, 2009; 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.