1. Home
  2. Directory
  3. NPI Profile

PEDIATRIC DERMATOLOGY OF KANSAS CITY
NPI 1396211678
Dermatology - Pediatric Dermatology in Mission Woods, KS

Active since October 15, 2018CLIA 17D2166613 · Microscopy
2001 SHAWNEE MISSION PKWY, MISSION WOODS, KS 66205(913) 339-8188 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2023, Apr 1, 2020, Oct 15, 2018 (3 updates tracked since 2018).

About Pediatric Dermatology Of Kansas City NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DERMATOLOGY OF KANSAS CITY (NPI 1396211678) is a healthcare organization registered as a pediatric dermatology in Mission Woods, Kansas and active in the NPI registry since October 2018. The organization holds a CLIA Microscopy certificate valid through May 20, 2027 and lists Sue Ann Douglas, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1396211678
Entity TypeOrganization
Primary Taxonomy207NP0225X
Legal Business NamePEDIATRIC DERMATOLOGY OF KANSAS CITY
Location Address2001 SHAWNEE MISSION PKWYMission Woods, KS 66205-2007
Mailing Address2001 Shawnee Mission Pkwy Ste 130Mission Woods, KS 66205-2060 · (913) 228-2000 · Fax (855) 354-0963
Phone(913) 339-8188
Organization SubpartNo
Authorized OfficialSue Ann DouglasPhysician Owner · (913) 228-2000
Enumeration DateOctober 15, 2018
Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1396211678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NP0225X
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
2001 SHAWNEE MISSION PKWY, Mission Woods, KS 66205
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 17D2166613

Pediatric Dermatology Of Kansas City · Mission Woods, KS
Active · expires May 20, 2027
CLIA Number17D2166613
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorSue Ann Douglas
Laboratory Phone(913) 228-2000
Laboratory LocationPediatric Dermatology Of Kansas City2001 Shawnee Mission Parkway, Mission Woods, KS 66205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dermatology Of Kansas City's NPI number?

The NPI number for Pediatric Dermatology Of Kansas City is 1396211678. It was assigned to this organization in the NPPES registry on October 15, 2018.

Where is Pediatric Dermatology Of Kansas City located?

Pediatric Dermatology Of Kansas City is located at 2001 Shawnee Mission Pkwy, Mission Woods, KS 66205. The listed phone number is (913) 339-8188.

What is Pediatric Dermatology Of Kansas City's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Does Pediatric Dermatology Of Kansas City hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 17D2166613) is associated with this NPI, valid through May 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Dermatology Of Kansas City accept?

Health plans from Anthem Blue Cross and Blue Shield list Pediatric Dermatology Of Kansas City as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Dermatology Of Kansas City was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.