John Riley Iv, D.P.M., P.C.

LBN: John Riley Iv, D.P.M., P.C.
John Riley Iv, D.P.M., P.C. is an health care organization with primary practice located at 411 Nichols Rd Suite 174, Kansas City MO 64112-2000. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. John Riley Iv, D.P.M., P.C. can be contacted via phone (816) 561-7388, or through Riley, John J via phone (816) 561-7388.

Contact Information

Primary practice address
411 Nichols Rd Suite 174 Kansas City MO 64112-2000
Fax: (816) 561-9921
Website:
Authorized official contact:
Name: Riley, John J Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X

Profile Details

NPI number 1548234586
LBN Legal business name John Riley Iv, D.P.M., P.C.
DBA Doing business as
Authorized official Riley, John J Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 27th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548234586 NPPES
Missouri Other 615154500 DOL
Missouri Other CJ2991 DOL
Missouri MEDICAID 1548234586 DOL
Missouri Other 29539016 DOL
Missouri Other DQ2915 DOL

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