Organization Active NPI

Maple Crest Open MRI

  • Radiology Clinic/Center
  • Liberty, MO
National Provider Identifier
1982643326
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
34425017OtherMOBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.