Kenneth Craig Place, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

04-17640 Issued in KS

Practice address

9009 Roe Ave
Prairie Village, KS 66207-2202

Phone

(913) 385-9009

Fax

(913) 385-3005

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KC Eye Specialists MDS PC

  • Ophthalmology Physician
  • Prairie Village, KS
  • NPI 1568573921
  NPD (past)
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1881621209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 ROE AVE",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072202",
            "telephone_number": "913-385-9009",
            "fax_number": "913-385-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 ROE AVE",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072202",
            "telephone_number": "913-385-9009",
            "fax_number": "913-385-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACE",
        "first_name": "KENNETH",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-17640",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "35062",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301047588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians' Surgery Center, LLC
• Hannah Faith Pierce
• Marion Spence Pierson, MD
• Christina Anne Pinkley, HIS, BC
• Erin Pitts
• Plan & Benefit Associates, LLC
• PMR, PA
• Kimberly Pointer, PT
• Sara Pollard
• Ella Campbell Popenhagen

• Ophthalmology Physician in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Ophthalmology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.