Organization Active NPI

Greiner Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Independence, MO
National Provider Identifier
1659806453
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2006015219 Issued in MO
Legal business name
GREINER ORTHOPEDICS LLC
Practice address
19201 E Valley View Pkwy Ste C
Independence, MO 64055-6913
Phone
(816) 317-5070
Fax
(855) 862-9292
NPI assigned
Apr 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Jessika N Miller
Title
Assistant Manager
Phone
(816) 647-2251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 2006015219 MO Primary

Addresses

Primary practice location

19201 E Valley View Pkwy Ste C
Independence, MO 64055-6913

Mailing address

4941 NW Canyon Rd
Lees Summit, MO 64064-2066
Phone (816) 317-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170511000548 MO Part B Supplier - Clinic/Group Practice 6002193174 Receives reassigned benefits from 3 practitioners
Practice locations: Independence, MO

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

19201 E Valley View Pkwy
Ste C
Independence, MO 64055
Phone (816) 317-5070

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFCJAD

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1659806453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 NW CANYON RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642066",
            "telephone_number": "816-317-5070",
            "fax_number": "816-205-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 E VALLEY VIEW PKWY STE C",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556913",
            "telephone_number": "816-317-5070",
            "fax_number": "855-862-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREINER ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-29",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JESSIKA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "816-647-2251"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2006015219",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.