Organization Active NPI

Dodge City Healthcare Group LP

  • Orthopaedic Surgery Physician
  • Dodge City, KS
National Provider Identifier
1710125877
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0433530 Issued in KS
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

Updated by the provider on Jan 28, 2009

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PENDINGMedicaidKS

Other names 1

  • NamLee Orthopaedic Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dodge City Healthcare Group LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.