Pediatric Headache Center PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

105950 Issued in MO

Legal business name

PEDIATRIC HEADACHE CENTER PC

Practice address

400 E Red Bridge Rd
Suite 206
Kansas City, MO 64131-4035

Phone

(816) 509-3363

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Gerry R. Gerry, MDNPI 1831296037

Title

Physician

Phone

(816) 509-3363

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gerry R Gerry, M.D.

  • Pediatrics Physician
  • Kansas City, MO
  • NPI 1831296037
  NPD (past) Authorized official

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1679881767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD",
            "address_2": "SUITE 206",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314035",
            "telephone_number": "816-509-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD",
            "address_2": "SUITE 206",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314035",
            "telephone_number": "816-509-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEADACHE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "GERRY",
        "authorized_official_first_name": "GERRY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "816-509-3363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "105950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Bliss Pederson, DPT
• Pediatric Care North
• Pediatric Care North
• Pediatric Dental Specialists, PA
• Pediatric Group Inc
• Pediatric Smiles, LLC
• Pediatric Therapy Services, Inc.
• Pediatrix
• Pediatrix Medical Group
• Christopher Allen Pedroza, DPT

• Pediatrics Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.