NPIMap

Organization Active NPI

Derby Recovery Center, Inc

  • Children's Substance Abuse Rehabilitation Facility
  • Derby, KS
National Provider Identifier
1902040934
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
07090900 Issued in KS
Legal business name
DERBY RECOVERY CENTER, INC
Practice address
1721 E Osage Rd
Suite 200
Derby, KS 67037-2092
Phone
(316) 788-1800
Fax
(316) 788-1815
NPI assigned
Apr 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Mr. Brian K Kelley
Title
President/Exec Director
Phone
(316) 788-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 07090900 KS Primary

Addresses

Primary practice location

1721 E Osage Rd
Suite 200
Derby, KS 67037-2092

Mailing address

1721 E Osage Rd
Suite 200
Derby, KS 67037-2092
Phone (316) 788-1800

National Provider Directory

National Provider Directory

Locations

1721 E Osage Rd
Ste 200
Derby, KS 67037
Phone (316) 788-1800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1902040934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 E OSAGE RD",
            "address_2": "SUITE 200",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372092",
            "telephone_number": "316-788-1800",
            "fax_number": "316-788-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E OSAGE RD",
            "address_2": "SUITE 200",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372092",
            "telephone_number": "316-788-1800",
            "fax_number": "316-788-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERBY RECOVERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/EXEC DIRECTOR",
        "authorized_official_telephone_number": "316-788-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "KS",
            "license": "07090900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.