Organization Active NPI

Spine & Extremity Rehabilitation Center of Kansas City North, Inc.

Doing business as SERC of Kansas City North, SERC of Metro North

  • Customized Equipment (DME)
  • Kansas City, MO
National Provider Identifier
1871708172
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SPINE & EXTREMITY REHABILITATION CENTER OF KANSAS CITY NORTH, INC.
Doing business as
SERC of Kansas City North, SERC of Metro North
Practice address
8409 N Main St
Kansas City, MO 64155-2426
Phone
(816) 420-0286
Fax
(816) 420-8207
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert A Mitchell, PT
Title
Manager, Owner, Physical Therapist
Phone
(816) 505-3422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X MO Primary

Addresses

Primary practice location

8409 N Main St
Kansas City, MO 64155-2426

Mailing address

8409 N Main St
Kansas City, MO 64155-2426
Phone (816) 420-0286

Other names 1

  • SERC of Kansas City North, SERC of Metro North Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871708172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 N MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552426",
            "telephone_number": "816-420-0286",
            "fax_number": "816-420-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 N MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552426",
            "telephone_number": "816-420-0286",
            "fax_number": "816-420-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & EXTREMITY REHABILITATION CENTER OF KANSAS CITY NORTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER, OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "816-505-3422",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERC of Kansas City North, SERC of Metro North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.