Active NPI
Laura N. Dinneen, MD
- Pediatric Radiology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 2011012591
- Practice address
- 2401 Gillham Rd
Kansas City, MO 64108-4619 - Phone
- (816) 234-3000
- NPI assigned
- Feb 14, 2006
- Last updated
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | 2011012591 | MO | Primary |
| Pediatric Radiology Physician | 2085P0229X | 04-35314 | KS | |
| Pediatric Radiology Physician | 2085P0229X | 01053544A | IN | |
| Pediatric Radiology Physician | 2085P0229X | 0101244895 | VA |
Addresses
Primary practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Mailing address
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13000 Butler Crest Dr
Saint Louis, MO 63128-4276
Phone (314) 842-3535
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01053544A | IN | MD | Pediatric Radiology Physician |
| 04-35314 | KS | MD | Pediatric Radiology Physician |
| 2011012591 | MO | MD | Pediatric Radiology Physician |
| 0101244895 | VA | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Cardinal Glennon Childrens Hospital | Current | Accepting new patients | |
| SSM Cardinal Glennon Childrens Hospital | Current | Accepting new patients | |
| The Children's Mercy Hospital | Current | Accepting new patients | |
| SSM Health Care St Louis | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| The Children's Mercy Hospital | Current | Accepting new patients | |
| SSM Cardinal Glennon Children's Hospital | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380
13000 Butler Crest Dr
Saint Louis, MO 63128
Phone (314) 842-3535
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Kansas City, MO
- NPI 1851437719
-
dba SSM Health Cardinal Glennon Children's Hospital
- Pediatrics Physician
- O'Fallon, IL
- NPI 1174577670
MO
-
dba Saint Francis Medical Center Anesthesia
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
dba SSM Health St Clare Fenton
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
-
dba Saint Francis Clinic Jackson
- Clinic/Center
- Jackson, MO
- NPI 1992502975
-
dba SSM Health Cardinal Glennon Pediatrics
- Pediatrics Physician
- Warrenton, MO
- NPI 1962573212
-
dba SSM Health Cardinal Glennon Pediatrics
- Pediatrics Physician
- Saint Louis, MO
- NPI 1073568226
-
dba SSM Health St. Mary's Hospital Physician Billing
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1366400855
-
dba Children's Mercy Riverside Pharmacy - Mail
- Mail Order Pharmacy
- Riverside, MO
- NPI 1235923194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1861466096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-234-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-234-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINNEEN",
"first_name": "LAURA",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "MO",
"license": "2011012591",
"primary": true
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "KS",
"license": "04-35314",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "IN",
"license": "01053544A",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "VA",
"license": "0101244895",
"primary": false
}
],
"identifiers": [],
"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 Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.