NPIMap

Organization Active NPI

Total Joint Center of the Northland, LLC

Doing business as Total Joint Center of the Northland Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Kansas City, MO
National Provider Identifier
1750835179
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TOTAL JOINT CENTER OF THE NORTHLAND, LLC
Doing business as
Total Joint Center of the Northland Surgery Center
Practice address
200 NE 54TH St
Suite 200
Kansas City, MO 64118
Phone
(972) 763-3893
Fax
(972) 692-6745
NPI assigned
Aug 15, 2016
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Christopher Hartshorn
Title
Officer / Authorized Official
Phone
(314) 800-2017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

200 NE 54TH St
Suite 200
Kansas City, MO 64118

Mailing address

14201 Dallas Pkwy
Dallas, TX 75254-2916
Phone (972) 763-3859

Other names 1

  • Total Joint Center of the Northland Surgery Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 2.16.840.1.113883.3.667.2 Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170106000101 MO Part B Supplier - Ambulatory Surgical Center 2668753666 Practice locations: Kansas City, MO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Total Joint Center of the NorthlandCCN 26C0001162
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2127900Total Joint Center of the Northland, LLC200 NE 54TH Street Suite 200, Kansas City, MO 64118Certificate of waiverMar 20, 2027

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

200 NE 54th St
Unit 200
Kansas City, MO 64118

Practitioners & affiliated clinicians

Practitioners 8

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": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1750835179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542916",
            "telephone_number": "972-763-3859",
            "fax_number": "972-920-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE 54TH ST",
            "address_2": "SUITE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64118",
            "telephone_number": "972-763-3893",
            "fax_number": "972-692-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL JOINT CENTER OF THE NORTHLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "HARTSHORN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "314-800-2017"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "2.16.840.1.113883.3.667.2",
            "affiliation": "Y",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Total Joint Center of the Northland Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Total Joint Center of the Northland Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.