Active NPI
Maple Crest Open MRI
- Radiology Clinic/Center
- Liberty, MO
National Provider Identifier
1982643326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- MAPLE CREST OPEN MRI
- Practice address
- 840 W Kansas St
Suite a
Liberty, MO 64068-2033 - Phone
- (816) 781-9797
- Fax
- (816) 781-9793
- NPI assigned
- Jun 4, 2006
- Last updated
- Jun 17, 2008
- 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
- Pamela J Asher
- Title
- Consultant
- Phone
- (816) 268-4019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
840 W Kansas St
Suite a
Liberty, MO 64068-2033
Mailing address
840 W Kansas St
Suite a
Liberty, MO 64068-2033
Phone (816) 781-9797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34425017 | Other | MO | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
840 W Kansas St
Apt A
Liberty, MO 64068
Phone (816) 587-1818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1982643326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 W KANSAS ST",
"address_2": "SUITE A",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640682033",
"telephone_number": "816-781-9797",
"fax_number": "816-781-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 W KANSAS ST",
"address_2": "SUITE A",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640682033",
"telephone_number": "816-781-9797",
"fax_number": "816-781-9793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAPLE CREST OPEN MRI",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "ASHER",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "816-268-4019"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "34425017",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.