Active NPI
Quyen Dam, M.D.
- Pediatrics Physician
- Lees Summit, MO
National Provider Identifier
1730369083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2010041901
- Practice address
- 3171 NE Carnegie Dr
Suite a
Lees Summit, MO 64064-3215 - Phone
- (816) 525-2800
- Fax
- (816) 525-4077
- NPI assigned
- Nov 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2010041901 | MO | Primary |
Addresses
Primary practice location
3171 NE Carnegie Dr
Suite a
Lees Summit, MO 64064-3215
Mailing address
3171 NE Carnegie Dr
Suite a
Lees Summit, MO 64064-3215
Phone (816) 525-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010041901 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Pediatrics, LLC | Past | Accepting new patients | |
| Children'S Mercy-Summit Pediatrics & Adolescent Medicine | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Lees Summit, MO
- NPI 1447751375
-
- Clinic/Center
- Lees Summit, MO
- NPI 1700151818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1730369083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3171 NE CARNEGIE DR",
"address_2": "SUITE A",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640643215",
"telephone_number": "816-525-2800",
"fax_number": "816-525-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3171 NE CARNEGIE DR",
"address_2": "SUITE A",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640643215",
"telephone_number": "816-525-2800",
"fax_number": "816-525-4077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAM",
"first_name": "QUYEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-04",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2010041901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.