Active NPI
Doctors Clinic of KC
- Internal Medicine Physician
- Kansas City, MO
National Provider Identifier
1710172234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R9J37
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P291524 | Other | MO | MEDICARE PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1225149537
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.