Active NPI
Charles Perry Andrews IV, N.D.
- Naturopath
- Overland Park, KS
National Provider Identifier
1881022564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 21-00032
- 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, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 21-00032 | KS | MD | Naturopath |
| 000050 | PR | MD | Naturopath |
| 60773636 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles and Cosette Andrews Foundation | Naturopath | Current | 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.
-
- Naturopath
- Kansas City, KS
- NPI 1851976369
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.