Active NPI
Paul Dew, D.O.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Kansas City, MO
National Provider Identifier
1679528673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 2000162374
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42969014 | Other | MO | BLUECROSS BLUESHIELD OF KC |
| 7798562 | Other | MO | CIGNA HEALTHCARE OF KANSAS/MISSOURI, INC |
| 7798562 | Other | MO | AETNA 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2000162374 | MO | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Psychiatric Consultants, P.C. | 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 and National Provider Directory roles.
-
- Specialist
- Lees Summit, MO
- NPI 1265472088
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.