Organization Active NPI

Orthopaedic & Sports Medicine Consultants LLC

  • Specialist
  • Leawood, KS
National Provider Identifier
1700870516
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS LLC
Practice address
3651 College Blvd
100B
Leawood, KS 66211-1904
Phone
(913) 362-0031
Fax
(913) 319-7662
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Mr. Randy Johnson
Title
Clinic Administrator
Phone
(913) 319-7534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3651 College Blvd
100B
Leawood, KS 66211-1904

Mailing address

3651 College Blvd
100B
Leawood, KS 66211-1904
Phone (913) 362-0031

Other names 1

  • Orthopaedic & Sports Medicine Consultants Chtd Former legal business name

National Provider Directory

National Provider Directory

Locations

3651 College Blvd
Ste 100B
Leawood, KS 66211
Phone (913) 362-0031

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1700870516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 COLLEGE BLVD",
            "address_2": "100B",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111904",
            "telephone_number": "913-362-0031",
            "fax_number": "913-319-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 COLLEGE BLVD",
            "address_2": "100B",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111904",
            "telephone_number": "913-362-0031",
            "fax_number": "913-319-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "913-319-7534",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic & Sports Medicine Consultants Chtd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.