Individual provider Active NPI

Cord David Huston, M.D.

  • Psychiatry Physician
  • Lawrence, KS
National Provider Identifier
1710114715
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
04-37364 Issued in KS
Practice address
200 Maine St Ste a
Lawrence, KS 66044-1396
Phone
(785) 843-9192
Fax
(785) 856-9191
NPI assigned
Jun 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-37364 KS Primary

Addresses

Primary practice location

200 Maine St Ste a
Lawrence, KS 66044-1396

Mailing address

200 Maine St Ste a
Lawrence, KS 66044-1390
Phone (785) 843-9192

Other practice location 1

330 SW Oakley Ave
Topeka, KS 66606-1995
Phone (785) 233-1730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140811002395 KS Practitioner - Psychiatry 7719104058 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-37364KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Mental Health and Recovery, Inc. CurrentSince Aug 30, 2016 Accepting new patients
Bert Nash Community Mental Health Center Inc CurrentSince Dec 17, 2018 Accepting new patients
Wyandot Center for Community Behavioral Healthcare, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Astra Mental Health and Recovery, Inc. CurrentSince Aug 30, 2016 Accepting new patients

Locations

1301 N 47th St
Kansas City, KS 66102
Phone (913) 287-0007

757 Armstrong Ave
Kansas City, KS 66101

200 Maine St
Ste A
Lawrence, KS 66044
Phone (785) 832-8192

2401 SW 6th Ave
Topeka, KS 66606
Phone (785) 273-2252

400 SW Oakley Ave
Topeka, KS 66606
Phone (785) 233-1730

5401 SW 7th St
Topeka, KS 66606
Phone (785) 273-2252

330 SW Oakley Ave
Topeka, KS 66606
Phone (785) 233-1730

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1710114715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAINE ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441390",
            "telephone_number": "785-843-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAINE ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441396",
            "telephone_number": "785-843-9192",
            "fax_number": "785-856-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 SW Oakley Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061995",
            "country_code": "US",
            "telephone_number": "785-233-1730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "CORD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-37364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.