NPIMap

Organization Active NPI

Old Westport ENT & Allergy, Inc

  • Otolaryngology Physician
  • Kansas City, MO
National Provider Identifier
1790733012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
OLD WESTPORT ENT & ALLERGY, INC
Practice address
1004 Carondelet Dr
Suite 450
Kansas City, MO 64114-4802
Phone
(816) 942-7200
Fax
(816) 942-2767
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Dee Ann Bowles, BS,MS
Title
Practice Administrator
Phone
(816) 875-2599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

1004 Carondelet Dr
Suite 450
Kansas City, MO 64114-4802

Mailing address

216 NW Executive Way
Lees Summit, MO 64063-1841
Phone (816) 875-2599

Other identifiers 3

IdentifierTypeStateIssuer
706201OtherMOUNITED HEALTH CARE
71866OtherKSBCBS OF KS
01379020OtherMOBCBS OF KC

National Provider Directory

National Provider Directory

Locations

12541 Foster St
Ste 200
Overland Park, KS 66213
Phone (816) 942-7200

216 NW Executive Way
Lees Summit, MO 64063
Phone (318) 550-1824

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790733012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 NW EXECUTIVE WAY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631841",
            "telephone_number": "816-875-2599",
            "fax_number": "816-875-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 450",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144802",
            "telephone_number": "816-942-7200",
            "fax_number": "816-942-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD WESTPORT ENT & ALLERGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "816-875-2599",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS,MS"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "706201",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "71866",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "01379020",
            "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 Aug 22, 2020; 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.