Active NPI
Henry J. Kanarek M.D. PA
- Allergy & Immunology Physician
- Overland Park, KS
National Provider Identifier
1881781409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- HENRY J. KANAREK M.D. PA
- Practice address
- 4601 W 109TH Street
Suite 350
Overland Park, KS 66211-1349 - Phone
- (913) 451-8555
- Fax
- (913) 327-8553
- NPI assigned
- Oct 6, 2006
- Last updated
- Aug 16, 2012
- 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
- Ms. Kathy Michelle Riley
- Title
- Office Manager / Billing
- Phone
- (913) 451-8555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | NU | Primary |
Addresses
Primary practice location
4601 W 109TH Street
Suite 350
Overland Park, KS 66211-1349
Mailing address
4601 W. 109TH Street
Suite 350
Overland Park, KS 66211-1349
Phone (913) 451-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4601 W 109th St
Ste 350
Overland Park, KS 66211
Phone (913) 451-8555
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Allergy & Immunology Physician
- Overland Park, KS
- NPI 1801983408
-
- Family Nurse Practitioner
- Overland Park, KS
- NPI 1679929012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345075200000",
"number": "1881781409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 W. 109TH STREET",
"address_2": "SUITE 350",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111349",
"telephone_number": "913-451-8555",
"fax_number": "913-327-8553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 W 109TH STREET",
"address_2": "SUITE 350",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111349",
"telephone_number": "913-451-8555",
"fax_number": "913-327-8553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY J. KANAREK M.D. PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2012-08-16",
"status": "A",
"authorized_official_last_name": "RILEY",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OFFICE MANAGER / BILLING",
"authorized_official_telephone_number": "913-451-8555",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NU",
"license": null,
"primary": true
}
],
"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 Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.