Dickson Diveley Midwest Orthopaedic Clinic LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC

Practice address

201 NW R D Mize Rd Ste 200
Blue Springs, MO 64014-2513

Phone

(913) 319-7600

Fax

(913) 253-1702

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Jacob S Stueve

Title

Authorized Official

Phone

(913) 851-7780

Specialties & licenses 1

Addresses

Other names 1

• Kansas City Orthopedic Alliance Other name

Locations

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1689380362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111910",
            "telephone_number": "913-319-7600",
            "fax_number": "913-253-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW R D MIZE RD STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142513",
            "telephone_number": "913-319-7600",
            "fax_number": "913-253-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "STUEVE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "913-851-7780"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kansas City Orthopedic Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dental Depot of Blue Springs PLLC
• Ameet Deshmukh, MD
• Dea Sun Deuser, PHARM. D.
• Sadonna Devaney, MASTER'S DEGREE
• David W Dickerson, MD
• Sachiko M Digusto, LPN
• John R Dillon, RPH
• Mark R Ditzenberger, D.C.
• Megan Louise Dixon, M.S., CCC-SLP
• Stephanie Dixson

• Durable Medical Equipment & Medical Supplies in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.