Kansas City Pediatric Cardiology Associates

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

KANSAS CITY PEDIATRIC CARDIOLOGY ASSOCIATES

Practice address

4150 N Mulberry Dr Ste 150
Kansas City, MO 64116-1764

Phone

(816) 584-0505

Fax

(816) 265-6333

NPI assigned

Sep 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. William B Drake III, MD

Title

Physician Owner

Phone

(816) 584-0505

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1669023388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 N MULBERRY DR STE 150",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641161764",
            "telephone_number": "816-584-0505",
            "fax_number": "816-265-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 N MULBERRY DR STE 150",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641161764",
            "telephone_number": "816-584-0505",
            "fax_number": "816-265-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY PEDIATRIC CARDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "816-584-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Cardiology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pediatric Cardiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.