Active NPI
Myron B. McDaniels, M.D.
- Pediatrics Physician
- Fort Leavenworth, KS
National Provider Identifier
1871579763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD065124L
- Practice address
- 550 Pope Ave
Munson Army Health Center (Attn: MXCN-Cod, Ms. Cotton)
Fort Leavenworth, KS 66027-2332 - Phone
- (913) 684-6562
- Fax
- (913) 684-6208
- NPI assigned
- Dec 21, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD065124L | PA | Primary |
Addresses
Primary practice location
550 Pope Ave
Munson Army Health Center (Attn: MXCN-Cod, Ms. Cotton)
Fort Leavenworth, KS 66027-2332
Mailing address
613 S 13TH St
Leavenworth, KS 66048-6302
Phone (719) 244-2739
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD065124L | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1871579763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 S 13TH ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660486302",
"telephone_number": "719-244-2739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 POPE AVE",
"address_2": "MUNSON ARMY HEALTH CENTER (ATTN: MXCN-COD, MS. COTTON)",
"city": "FORT LEAVENWORTH",
"state": "KS",
"postal_code": "660272332",
"telephone_number": "913-684-6562",
"fax_number": "913-684-6208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIELS",
"first_name": "MYRON",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD065124L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.