Organization Active NPI

Cradle Thru College Care, LLC

  • Pediatrics Physician
  • Kansas City, MO
National Provider Identifier
1760584999
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CRADLE THRU COLLEGE CARE, LLC
Practice address
1004 Carondelet Dr
Suite 310
Kansas City, MO 64114
Phone
(816) 942-5437
Fax
(816) 942-4830
NPI assigned
Sep 1, 2006
Last updated
Jun 16, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CRADLE THRU COLLGE CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Kurt Metzl, MD
Title
Managing Partner
Phone
(816) 942-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1004 Carondelet Dr
Suite 310
Kansas City, MO 64114

Mailing address

1004 Carondelet Dr
Suite 310
Kansas City, MO 64114
Phone (816) 942-5437

Other names 1

  • Drs Metzl, Glotzbach, Austin and Pierson Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Cradle Thru College Care LLC2 organizations share this tax ID, including this one
Part of
Cradle Thru College Care LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1760584999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 310",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64114",
            "telephone_number": "816-942-5437",
            "fax_number": "816-942-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 310",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64114",
            "telephone_number": "816-942-5437",
            "fax_number": "816-942-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRADLE THRU COLLEGE CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRADLE THRU COLLGE CARE, LLC",
        "enumeration_date": "2006-09-01",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "METZL",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "816-942-5437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Metzl, Glotzbach, Austin and Pierson",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 16, 2009; 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.