Kansas City Center for Hip Preservation and Sports Medicine

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

2010024964 Issued in MO

Legal business name

KANSAS CITY CENTER FOR HIP PRESERVATION AND SPORTS MEDICINE

Practice address

6100 Timberidge
Parkville, MO 64152-6099

Phone

(816) 721-5140

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Cody Stephen Harlan, M.D.NPI 1104870054

Title

President

Phone

(816) 721-5140

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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

• Cody S. Harlan, M.D.

  • Orthopaedic Surgery Physician
  • Parkville, MO
  • NPI 1104870054
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1952773533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 NW 63RD TER",
            "address_2": "SUITE 120",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641513319",
            "telephone_number": "816-718-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 TIMBERIDGE",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641526099",
            "telephone_number": "816-721-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY CENTER FOR HIP PRESERVATION AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "HARLAN",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-721-5140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MO",
            "license": "2010024964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104870054",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104870054",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachelle Johnson
• Julianne Jones
• Kayla S Jones, RBT
• Leslie Nicole Jones, PH.D.
• Hyeri Jung
• Joeseph A Kastrinakis
• Jennifer D Kempema, M.S.-ATR
• Ronald Scott Kempton, MD
• Kelly Lynn Kincaid, M.S., PLPC
• Patti Marie King, D.C.

• Sports Medicine (Orthopaedic Surgery) Physician in Parkville, MO
• Providers in Parkville, MO by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.

Verify at the official NPI Registry.