Active NPI
Robert Jack Takacs, M.D.
- Orthopaedic Surgery Physician
- Lee's Summit, MO
National Provider Identifier
1669491023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MDR9C82
- Practice address
- 120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011 - Phone
- (816) 246-4302
- Fax
- (816) 246-8910
- NPI assigned
- Jul 18, 2006
- Last updated
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MDR9C82 | MO | Primary |
Addresses
Primary practice location
120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011
Mailing address
901 E 104TH St
Kansas City, MO 64131-4517
Phone (816) 502-8752
Other practice location 1
600 NE Adams Dairy Pkwy Ste 160
Blue Springs, MO 64014-5496
Phone (816) 246-4302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR9C82 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockhill Orthopaedics Inc | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Lee's Summit, MO
- NPI 1851352140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1669491023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641314517",
"telephone_number": "816-502-8752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NE SAINT LUKES BLVD STE 200",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640866011",
"telephone_number": "816-246-4302",
"fax_number": "816-246-8910"
}
],
"practiceLocations": [
{
"address_1": "600 NE Adams Dairy Pkwy Ste 160",
"address_purpose": "LOCATION",
"city": "Blue Springs",
"state": "MO",
"postal_code": "640145496",
"country_code": "US",
"telephone_number": "816-246-4302",
"fax_number": "816-246-9493",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAKACS",
"first_name": "ROBERT",
"middle_name": "JACK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "MDR9C82",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.