Active NPI
Independence Pediatrics, P.C. Inc.
- Specialist
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35496
- Legal business name
- INDEPENDENCE PEDIATRICS, P.C. INC.
- Practice address
- 4731 S Cochise Dr Ste 100
Independence, MO 64055-6975 - Phone
- (816) 373-1111
- Fax
- (816) 373-9222
- NPI assigned
- Mar 6, 2007
- 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
- Dr. Weldon Lee Harris, M.D.
- Title
- Primary Care Physician
- Phone
- (816) 373-1111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35496 | MO | Primary |
Addresses
Primary practice location
4731 S Cochise Dr Ste 100
Independence, MO 64055-6975
Mailing address
4731 S Cochise Dr Ste 100
Independence, MO 64055-6975
Phone (816) 373-1111
Other practice location 1
2 NE Sycamore St
Lees Summit, MO 64086-9578
Phone (816) 373-1111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J61A008 | Medicaid | MO | |
| J619948 | Medicaid | MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0901843 | Independence Pediatrics | Certificate of waiver | Oct 3, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Independence Pediatrics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- Independence, MO
- NPI 1992964845
Locations
2 NE Sycamore St
Lees Summit, MO 64086
Phone (816) 373-1111
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Independence, MO
- NPI 1548201106
-
- Pediatrics Physician
- Independence, MO
- NPI 1285681460
-
- Pediatric Nurse Practitioner
- Kansas City, MO
- NPI 1972184042
-
- Pediatric Nurse Practitioner
- Independence, MO
- NPI 1760103964
-
- Pediatric Nurse Practitioner
- Blue Springs, MO
- NPI 1164406260
-
- Pediatrics Physician
- Kansas City, MO
- NPI 1740257351
-
- Physician Assistant
- Kansas City, MO
- NPI 1134529589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741910400000",
"number": "1962532283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4731 S COCHISE DR STE 100",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556975",
"telephone_number": "816-373-1111",
"fax_number": "816-373-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4731 S COCHISE DR STE 100",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556975",
"telephone_number": "816-373-1111",
"fax_number": "816-373-9222"
}
],
"practiceLocations": [
{
"address_1": "2 NE Sycamore St",
"address_purpose": "LOCATION",
"city": "Lees Summit",
"state": "MO",
"postal_code": "640869578",
"country_code": "US",
"telephone_number": "816-373-1111",
"fax_number": "816-373-9222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INDEPENDENCE PEDIATRICS, P.C. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "WELDON",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRIMARY CARE PHYSICIAN",
"authorized_official_telephone_number": "816-373-1111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MO",
"license": "35496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "J61A008",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "J619948",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
- Independence Neurosurgery Services LLC
- Independence Operations LLC
- Independence Orthodontics, LLC
- Independence Pediatric Dentistry LLC
- Independence Pediatrics PC
- Independence Regional Medical Group LLC
- Independence School District
- Independence School District
- Independence Surgical Clinic, Inc.
- Independence Women'S Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.