Essfa Ac, LLC

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

ESSFA AC, LLC

Doing business as

Essfa

Practice address

10895 Lowell Ave Ste 102
Overland Park, KS 66210-1678

Phone

(877) 224-0133

Fax

(913) 341-1534

NPI assigned

Mar 13, 2008

Last updated

Mar 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Edward Johnson III, RSA, CSA, SA-C

Title

President

Phone

(877) 224-0133

Specialties & licenses 1

Addresses

Other names 1

• ESSFA Doing business as

Locations

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1932370319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10895 LOWELL AVE STE 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101678",
            "telephone_number": "877-224-0133",
            "fax_number": "913-341-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10895 LOWELL AVE STE 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101678",
            "telephone_number": "877-224-0133",
            "fax_number": "913-341-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSFA AC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-224-0133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RSA, CSA, SA-C"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESSFA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mahshid Etemad

• Supports Brokerage Agency in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Supports Brokerage Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.