C and M Support Services

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

C AND M SUPPORT SERVICES

Practice address

6220 Jackson Ave
Kansas City, MO 64130-4407

Phone

(816) 977-1284

Fax

(816) 361-6167

NPI assigned

Aug 8, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christian Royal Crockett

Title

Owner/Director

Phone

(816) 977-1284

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811188261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 JACKSON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641304407",
            "telephone_number": "816-977-1284",
            "fax_number": "816-361-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 JACKSON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641304407",
            "telephone_number": "816-977-1284",
            "fax_number": "816-361-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C AND M SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "ROYAL",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "816-977-1284",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Developmental Disabilities Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.