Organization Active NPI

Dermatology Specialists of Kansas City, P.C.

  • Specialist
  • Kansas City, MO
National Provider Identifier
1831137462
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DERMATOLOGY SPECIALISTS OF KANSAS CITY, P.C.
Practice address
1010 Carondelet Dr
Suite 125
Kansas City, MO 64114-4859
Phone
(816) 942-1150
Fax
(816) 942-0322
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Ms. Sue Mechanic
Title
Administrator
Phone
(816) 942-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1010 Carondelet Dr
Suite 125
Kansas City, MO 64114-4859

Mailing address

1010 Carondelet Dr Ste 125
Kansas City, MO 64114-4846
Phone (816) 942-1150

Other identifiers 1

IdentifierTypeStateIssuer
00815010OtherMOBC/BC GRP PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100108000466 MO Part B Supplier - Clinic/Group Practice 6901947290 Receives reassigned benefits from 4 practitioners
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

1010 Carondelet Dr
Ste 125
Kansas City, MO 64114
Phone (816) 942-1150

Practitioners & affiliated clinicians

Practitioners 4

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1831137462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR STE 125",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144846",
            "telephone_number": "816-942-1150",
            "fax_number": "816-942-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 125",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-942-1150",
            "fax_number": "816-942-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SPECIALISTS OF KANSAS CITY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "MECHANIC",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-942-1150",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BC GRP PROVIDER #",
            "identifier": "00815010",
            "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 Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.