Organization Active NPI

Kansas City Dermatology, P.a.

  • Procedural Dermatology Physician
  • Overland Park, KS
National Provider Identifier
1831296383
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
KANSAS CITY DERMATOLOGY, P.A.
Practice address
10600 Quivira Road
Suite 430
Overland Park, KS 66215
Phone
(913) 541-3230
NPI assigned
Sep 19, 2006
Last updated
Dec 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Mark A McCune, M.D.NPI 1871607267
Title
President
Phone
(913) 541-3230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X Primary

Addresses

Primary practice location

10600 Quivira Road
Suite 430
Overland Park, KS 66215

Mailing address

10600 Quivira Road
Suite 430
Overland Park, KS 66215
Phone (913) 541-3230

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ab187e7e-b787-4906-b2dc-f4d9812dae4b/

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1831296383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 QUIVIRA ROAD",
            "address_2": "SUITE 430",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-541-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 QUIVIRA ROAD",
            "address_2": "SUITE 430",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-541-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY DERMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "MCCUNE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-541-3230",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.