Active NPI
Joseph Roy Vanbiber, DO
- Pediatrics Physician
- Blue Springs, MO
National Provider Identifier
1982602678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R9E89
- Practice address
- 205 W R D Mize Rd
Suite 304
Blue Springs, MO 64014-2518 - Phone
- (816) 228-4770
- Fax
- (816) 228-1156
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R9E89 | MO | Primary |
Addresses
Primary practice location
205 W R D Mize Rd
Suite 304
Blue Springs, MO 64014-2518
Mailing address
205 W R D Mize Rd
Suite 304
Blue Springs, MO 64014-2518
Phone (816) 228-4770
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287900 | Other | FAMILY HEALTH PARTNERS | |
| 15341039 | Other | BLUE CROSS/BLUE SHIELD | |
| 287901 | Other | FAMILY HEALTH PARTNERS | |
| 1208117 | Other | UNITED HEALTH CARE | |
| 242479509 | Medicaid | MO | |
| 4002008 | Other | AETNA | |
| 313340 | Other | FIRST GUARD |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9E89 | MO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1982602678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W R D MIZE RD",
"address_2": "SUITE 304",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640142518",
"telephone_number": "816-228-4770",
"fax_number": "816-228-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W R D MIZE RD",
"address_2": "SUITE 304",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640142518",
"telephone_number": "816-228-4770",
"fax_number": "816-228-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANBIBER",
"first_name": "JOSEPH",
"middle_name": "ROY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "R9E89",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY HEALTH PARTNERS",
"identifier": "287900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "15341039",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY HEALTH PARTNERS",
"identifier": "287901",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1208117",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242479509",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4002008",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST GUARD",
"identifier": "313340",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.