Organization Active NPI

Vein & Laser Institute P.a.

  • Phlebology Physician
  • Kansas City, MO
National Provider Identifier
1972833457
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
106993 Issued in MO
Legal business name
VEIN & LASER INSTITUTE P.A.
Practice address
1010 Carondelet Dr
Suite 140
Kansas City, MO 64114-4859
Phone
(816) 943-0199
Fax
(816) 943-0323
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Victoria Knox
Title
Manager
Phone
(816) 943-0199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 202K00000X 106993 MO Primary

Addresses

Primary practice location

1010 Carondelet Dr
Suite 140
Kansas City, MO 64114-4859

Mailing address

1010 Carondelet Dr
Suite 140
Kansas City, MO 64114-4859
Phone (816) 943-0199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100505000755 MO Part B Supplier - Clinic/Group Practice 8729116132 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

1010 Carondelet Dr
Ste 140
Kansas City, MO 64114
Phone (816) 943-0199

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": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1972833457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 140",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-943-0199",
            "fax_number": "816-943-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 140",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-943-0199",
            "fax_number": "816-943-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN & LASER INSTITUTE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-943-0199"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "MO",
            "license": "106993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.