Individual provider Active NPI

Paul Dew, D.O.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Kansas City, MO
National Provider Identifier
1679528673
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
2000162374 Issued in MO
Practice address
1010 Carondelet Dr
Ste 220
Kansas City, MO 64114-4859
Phone
(816) 941-1600
Fax
(816) 941-1699
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 2000162374 MO Primary

Addresses

Primary practice location

1010 Carondelet Dr
Ste 220
Kansas City, MO 64114-4859

Mailing address

1010 Carondelet Dr
Ste 220
Kansas City, MO 64114-4859
Phone (816) 941-1600

Other identifiers 3

IdentifierTypeStateIssuer
42969014OtherMOBLUECROSS BLUESHIELD OF KC
7798562OtherMOCIGNA HEALTHCARE OF KANSAS/MISSOURI, INC
7798562OtherMOAETNA US HEALTHCARE

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
2000162374MOMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Psychiatric Consultants, P.C. PastSince Apr 20, 1998 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1679528673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "STE 220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-941-1600",
            "fax_number": "816-941-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "STE 220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-941-1600",
            "fax_number": "816-941-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEW",
        "first_name": "PAUL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MO",
            "license": "2000162374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF KC",
            "identifier": "42969014",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE OF KANSAS/MISSOURI, INC",
            "identifier": "7798562",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "7798562",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 19, 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.