Active NPI
Dodge City Healthcare Group LP
- Orthopaedic Surgery Physician
- Dodge City, KS
National Provider Identifier
1710125877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0433530
- Legal business name
- DODGE CITY HEALTHCARE GROUP LP
- Practice address
- 112 W Ross Blvd
Suite C
Dodge City, KS 67801-7219 - Phone
- (620) 227-2064
- NPI assigned
- Jan 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Klein
- Title
- Division President
- Phone
- (615) 372-8500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0433530 | KS | Primary |
Addresses
Primary practice location
112 W Ross Blvd
Suite C
Dodge City, KS 67801-7219
Mailing address
112 W Ross Blvd
Suite C
Dodge City, KS 67801-7219
Phone (620) 227-2064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | KS |
Other names 1
- NamLee Orthopaedic Surgery
National Provider Directory
National Provider Directory- Tax ID family
- Dodge City Healthcare Group LP
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgery Physician
- Dodge City, KS
- NPI 1548408602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233100800000",
"number": "1710125877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 W ROSS BLVD",
"address_2": "SUITE C",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678017219",
"telephone_number": "620-227-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 W ROSS BLVD",
"address_2": "SUITE C",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678017219",
"telephone_number": "620-227-2064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DODGE CITY HEALTHCARE GROUP LP",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-28",
"last_updated": "2009-01-28",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "DIVISION PRESIDENT",
"authorized_official_telephone_number": "615-372-8500"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": "0433530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NamLee Orthopaedic Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dodge City, KS
- Dodge City Healthcare Group LLC
- Dodge City Healthcare Group LLC
- Dodge City Healthcare Group LLC
- Dodge City Healthcare Group LP
- Dodge City Healthcare Group LP
- Dodge City Healthcare Group LP
- Dodge City Medical Center Chartered
- Dodge City Smiles
- Dodge City Womens Health Clinic Inc
- Sophia Maria Alonso Dowling, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.