Captain Doc LLC
Captain Doc LLC is a healthcare organization registered as Podiatrist in Gladstone, MO, holding Type 2 (organization) NPI 1689612483 since 2006. The authorized official on file is Kori Taylor, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689612483 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Captain Doc LLC |
| Other name | <Unavail> |
| Practice address | 6717 N OAK TRFY, Gladstone, MO, 64118 |
| Phone | 8164521211 |
| Fax | 8164524211 |
| Enumeration date | 2006-06-03 |
| Last updated in NPPES | 2011-08-15 |
Authorized official
| Name | Kori Taylor |
|---|---|
| Title | Owner |
| Phone | 8164521211 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 213E00000X | Podiatrist | Primary | 000701 | MO |
Copy-ready billing details
Provider: Captain Doc LLC NPI: 1689612483 Taxonomy: 213E00000X (Podiatrist) Address: 6717 N OAK TRFY, Gladstone, MO, 64118
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1356384929 | Kori Taylor | Individual | Podiatrist | Gladstone, MO |
| 1508980657 | Thomas Hewitt | Individual | Foot Surgery Podiatrist | Gladstone, MO |
Verify this record
Cross-check NPI 1689612483 against the authoritative CMS record: view Captain Doc LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Captain Doc LLC?
What is the NPI number for Captain Doc LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2011-08-15.