Active NPI
Michael A. Clemente, D.O.
- Orthopaedic Surgery Physician
- North Kansas City, MO
National Provider Identifier
1861466138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- R9A98
- Practice address
- 2790 Clay Edwards Dr
Suite #650
North Kansas City, MO 64116-3276 - Phone
- (816) 559-6500
- Fax
- (816) 559-6553
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | R9A98 | MO | Primary |
Addresses
Primary practice location
2790 Clay Edwards Dr
Suite #650
North Kansas City, MO 64116-3276
Mailing address
2790 Clay Edwards Dr
Suite #650
North Kansas City, MO 64116-3276
Phone (816) 459-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242192722 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
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": "1271376000000",
"number": "1861466138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2790 CLAY EDWARDS DR",
"address_2": "SUITE #650",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163276",
"telephone_number": "816-459-7500",
"fax_number": "816-459-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 CLAY EDWARDS DR",
"address_2": "SUITE #650",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163276",
"telephone_number": "816-559-6500",
"fax_number": "816-559-6553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTE",
"first_name": "MICHAEL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2010-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "R9A98",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242192722",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.