Dmmkp Corporation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DMMKP CORPORATION

Practice address

9240 Glenwood St Ste B
Overland Park, KS 66212-1370

Phone

(913) 685-9700

Fax

(913) 543-3920

NPI assigned

Dec 8, 2021

Organization subpart

No

Name

Mr. Douglas Alan Peterson

Title

Owner/Administrator

Phone

(913) 957-9486

Locations

• Synergy HomeCare Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 8, 2021.

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1700545688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 GLENWOOD ST STE B",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121370",
            "telephone_number": "913-685-9700",
            "fax_number": "913-543-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 GLENWOOD ST STE B",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121370",
            "telephone_number": "913-685-9700",
            "fax_number": "913-543-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMMKP CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "913-957-9486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia A. Dixon, CRNA
• Patrina Dixon
• Tasheana Dixon
• Djo, LLC
• Andrea Arlotti Dlugosch, SLP
• Tho Huu DO, DDS
• Robin Doak, COTA/L
• Wayne Dobbins, DDS, MS
• David E Dobratz, M.D.
• Matthew Stephen Dobratz, DPT

• All providers in Overland Park, KS
• In Home Supportive Care Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.