Active NPI
Rejuvenate Medical LLC
- General Practice Physician
- Lees Summit, MO
National Provider Identifier
1881101434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- REJUVENATE MEDICAL LLC
- Practice address
- 400 SW Longview Blvd Ste 160
Lees Summit, MO 64081-2112 - Phone
- (816) 761-3944
- NPI assigned
- Jan 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Symes
- Title
- Partner/Authorized Official
- Phone
- (816) 761-3944
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
400 SW Longview Blvd Ste 160
Lees Summit, MO 64081-2112
Mailing address
400 SW Longview Blvd Ste 160
Lees Summit, MO 64081-2112
National Provider Directory
National Provider DirectoryLocations
400 SW Longview Blvd
Ste 1
Lees Summit, MO 64081
Phone (816) 761-3944
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lees Summit, MO
- NPI 1336237189
-
- Professional Counselor
- Lees Summit, MO
- NPI 1710939525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515110400000",
"number": "1881101434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SW LONGVIEW BLVD STE 160",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640812112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SW LONGVIEW BLVD STE 160",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640812112",
"telephone_number": "816-761-3944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REJUVENATE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-04",
"last_updated": "2018-01-05",
"status": "A",
"authorized_official_last_name": "SYMES",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PARTNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "816-761-3944"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.