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Export Provider Record NPI 1356704720
Nickolas StasicM.D.
Active
NPI Number1356704720
NPI TypeNPI-1 Individual
SpecialtyPediatrics
Provider Details
NPI1356704720
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2016-04-01
Last Updated2022-01-31
Mailing Address8781 N Platte Purchase Dr
Kansas City, MO 64155-1829
United States
Phone: (816) 587-3200
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Primary Practice Address2401 Gillham Rd, Children'S Mercy Hospital
Kansas City, MO 64108-4619
United States
Phone: (816) 234-3585
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208000000X – PediatricsMO2019023429
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About NPI 1356704720

Nickolas Stasic M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1356704720. The primary specialty listed is Pediatrics. 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 2016-04-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1356704720?

NPI 1356704720 belongs to Nickolas Stasic M.D., a Pediatrics in Kansas City, MO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1356704720 active?

The current status of NPI 1356704720 in the NPPES registry is Active. The record was last updated on 2022-01-31.

What specialty is NPI 1356704720?

NPI 1356704720 is classified under the taxonomy Pediatrics. 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 1356704720?

You can verify NPI 1356704720 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 1356704720?

The primary practice address on file for NPI 1356704720 is 2401 Gillham Rd, Kansas City, MO 64108-4619. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1356704720 issued?

NPI 1356704720 was first issued (enumerated) on 2016-04-01. The NPPES record was last updated on 2022-01-31.

Practice Location Map

Nickolas Stasic is located at 2401 Gillham Rd, Kansas City, MO. Use the map below to find directions or verify the practice location.

📍 2401 Gillham Rd, Kansas City, MO 64108-4619  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Nickolas Stasic. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1356704720. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pediatrics2019023429MO
Data Verified from CMS NPPES Last synced: 2026-08-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162