| NPI | 1114345840 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2014-03-31 |
| Last Updated | 2018-08-28 |
| Mailing Address | 901 E 104th St, Mailstop 400s Kansas City, MO 64131 United States Phone: (816) 502-7117 | Fax: (816) 932-9670 📍 View Map |
| Primary Practice Address | 4400 Broadway Ste 407 Kansas City, MO 64111 United States Phone: (816) 931-1711 | Fax: (816) 932-1719 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 390200000X – Student in an Organized Health Care Education/Training Program | - | - |
| Yes | 2084P0800X – Psychiatry & Neurology, Psychiatry | MO | 2017014862 |
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About NPI 1114345840
Carl Dubose M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114345840. The primary specialty listed is Psychiatry & Neurology, Psychiatry. The provider is located in Kansas City, MO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-03-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114345840?
NPI 1114345840 belongs to Carl Dubose M.D., a Psychiatry & Neurology, Psychiatry in Kansas City, MO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114345840 active?
The current status of NPI 1114345840 in the NPPES registry is Active. The record was last updated on 2018-08-28.
What specialty is NPI 1114345840?
NPI 1114345840 is classified under the taxonomy Psychiatry & Neurology, Psychiatry. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114345840?
You can verify NPI 1114345840 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114345840?
The primary practice address on file for NPI 1114345840 is 4400 Broadway Ste 407, Kansas City, MO 64111. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114345840 issued?
NPI 1114345840 was first issued (enumerated) on 2014-03-31. The NPPES record was last updated on 2018-08-28.
Practice Location Map
Carl Dubose is located at 4400 Broadway Ste 407, Kansas City, MO. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Carl Dubose. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1114345840. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | 2017014862 | MO |