Active NPI
Valdaze McDaniel
- Prosthetics Case Management
- Leawood, KS
National Provider Identifier
1922439546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 1744P3200X
- Practice address
- 12702 Wenonga LN
Leawood, KS 66209-1631 - Phone
- (816) 665-8008
- NPI assigned
- Dec 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 1744P3200X | KS | Primary |
Addresses
Primary practice location
12702 Wenonga LN
Leawood, KS 66209-1631
Mailing address
12702 Wenonga LN
Leawood, KS 66209-1631
Phone (816) 665-8008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46-4026618 | Other | KS | HAIR LOSS SPECIALIST |
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 |
|---|---|---|---|
| 1744P3200X | KS | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386374400000",
"number": "1922439546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12702 WENONGA LN",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662091631",
"telephone_number": "816-665-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12702 WENONGA LN",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662091631",
"telephone_number": "816-665-8008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "VALDAZE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-07",
"last_updated": "2013-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "KS",
"license": "1744P3200X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAIR LOSS SPECIALIST",
"identifier": "46-4026618",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.