Organization Active NPI

Doctors Clinic of KC

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1710172234
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R9J37 Issued in MO
Legal business name
DOCTORS CLINIC OF KC
Practice address
6650 Troost Ave
Ste 205
Kansas City, MO 64131-1215
Phone
(816) 444-6055
Fax
(816) 444-6033
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Rita Stanley, M.D.
Title
Owner and Operator
Phone
(816) 444-6055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X R9J37 MO Primary

Addresses

Primary practice location

6650 Troost Ave
Ste 205
Kansas City, MO 64131-1215

Mailing address

PO Box 480
Smithville, MO 64089-0480
Phone (816) 444-6055

Other identifiers 1

IdentifierTypeStateIssuer
P291524OtherMOMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

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": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1710172234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640890480",
            "telephone_number": "816-444-6055",
            "fax_number": "816-444-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 TROOST AVE",
            "address_2": "STE 205",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311215",
            "telephone_number": "816-444-6055",
            "fax_number": "816-444-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS CLINIC OF KC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OWNER AND OPERATOR",
        "authorized_official_telephone_number": "816-444-6055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R9J37",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "P291524",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.