Organization Active NPI

Midwest America Plastic Surgery Center, LTD

  • Plastic and Reconstructive Surgery Physician
  • Kansas City, MO
National Provider Identifier
1740581305
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
107537 Issued in MO
Legal business name
MIDWEST AMERICA PLASTIC SURGERY CENTER, LTD
Practice address
1421 W 47TH St
Kansas City, MO 64112-1103
Phone
(816) 941-6226
Fax
(816) 941-6336
NPI assigned
Nov 12, 2010
Last updated
Apr 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Dr. John M Hiebert, M.D.
Title
President
Phone
(816) 941-6226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 107537 MO Primary

Addresses

Primary practice location

1421 W 47TH St
Kansas City, MO 64112-1103

Mailing address

1421 W 47TH St
Kansas City, MO 64112-1103
Phone (816) 941-6226

Other identifiers 1

IdentifierTypeStateIssuer
00877303OtherMOARTICLE OF INCORPORATION FILE NUMBER

National Provider Directory

National Provider Directory

Locations

1421 W 47th St
Kansas City, MO 64112
Phone (816) 561-1622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1740581305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 W 47TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121103",
            "telephone_number": "816-941-6226",
            "fax_number": "816-941-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 W 47TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121103",
            "telephone_number": "816-941-6226",
            "fax_number": "816-941-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST AMERICA PLASTIC SURGERY CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "HIEBERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-941-6226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "107537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLE OF INCORPORATION FILE NUMBER",
            "identifier": "00877303",
            "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 Apr 16, 2014; 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.