Active NPI
KJM Properties, LLC
- Point of Service
- Stevens Point, WI
National Provider Identifier
1780980870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- Legal business name
- KJM PROPERTIES, LLC
- Practice address
- 1020 1St St
Stevens Point, WI 54481-2631 - Phone
- (715) 343-8848
- NPI assigned
- Feb 7, 2011
- 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
- Mrs. Krista Mendyke
- Title
- Owner
- Phone
- (715) 343-8848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | Primary |
Addresses
Primary practice location
1020 1St St
Stevens Point, WI 54481-2631
Mailing address
2225 Eagle SMT
Stevens Point, WI 54482-8977
Phone (715) 343-8848
National Provider Directory
National Provider Directory- Tax ID family
- Dba Pioneer Place
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Maintenance Organization
- Stevens Point, WI
- NPI 1568743714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297036800000",
"number": "1780980870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 EAGLE SMT",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544828977",
"telephone_number": "715-343-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 1ST ST",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544812631",
"telephone_number": "715-343-8848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KJM PROPERTIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-07",
"last_updated": "2011-02-07",
"status": "A",
"authorized_official_last_name": "MENDYKE",
"authorized_official_first_name": "KRISTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "715-343-8848",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.