Healthcare Provider Details

I. General information

NPI: 1134049695
Provider Name (Legal Business Name): DIMURO PAIN MANAGEMENT KC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W 47TH ST STE 100
KANSAS CITY MO
64112-1253
US

IV. Provider business mailing address

801 W 47TH ST STE 100
KANSAS CITY MO
64112-1253
US

V. Phone/Fax

Practice location:
  • Phone: 816-376-0000
  • Fax:
Mailing address:
  • Phone: 816-376-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMIE ESPINOSA
Title or Position: ADMINISTRATOR
Credential: APRN
Phone: 816-376-0000