Individual provider Active NPI

Charles Perry Andrews IV, N.D.

  • Naturopath
  • Overland Park, KS
National Provider Identifier
1881022564
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
21-00032 Issued in KS
Practice address
11791 W 112TH St Ste 100
Overland Park, KS 66210-2755
Phone
(913) 214-6536
NPI assigned
Oct 16, 2013
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 21-00032 KS Primary
Naturopath 175F00000X VI
Naturopath 175F00000X 60773636 WA
Naturopath 175F00000X 000050 PR

Addresses

Primary practice location

11791 W 112TH St Ste 100
Overland Park, KS 66210-2755

Mailing address

3614 Matney Ave
Kansas City, KS 66106-3904
Phone (913) 214-2444

Other practice location 1

3614 Matney Ave
Kansas City, KS 66106-3904
Phone (913) 214-2444

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

State licenses

LicenseStateTypeSpecialty
21-00032KSMDNaturopath
000050PRMDNaturopath
60773636WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Charles and Cosette Andrews Foundation Naturopath CurrentSince Nov 6, 2022 Accepting new patients
Universidad de Ana G. Mendez Naturopath Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1881022564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 MATNEY AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661063904",
            "telephone_number": "913-214-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11791 W 112TH ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102755",
            "telephone_number": "913-214-6536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3614 Matney Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661063904",
            "country_code": "US",
            "telephone_number": "913-214-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "CHARLES",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-16",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "KS",
            "license": "21-00032",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VI",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "60773636",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "PR",
            "license": "000050",
            "primary": false
        }
    ],
    "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 Nov 1, 2022; 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.