AESTHETIC LUXURY SPA LLC — NPI 1043089733 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in KANSAS CITY, MO)

CMS-1500 Box 24J / 33a • NPI

1043089733

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261Q00000X (CMS 70)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

2301 TROOST AVE, STE 101, KANSAS CITY, MO, 64108

Official NPPES Practice Location

Practice Phone & Referral Fax

(816) 200-2409

Fax: (816) 320-0028

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1043089733 (AESTHETIC LUXURY SPA LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1043089733` (NPI-2 Organization / Facility)
Provider / Legal Name	AESTHETIC LUXURY SPA LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261Q00000X` (Clinic/Center)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	2301 TROOST AVE, STE 101, KANSAS CITY, MO, 64108
Practice Telephone / Fax	Tel: (816) 200-2409 \| Fax: (816) 320-0028
Administrative Mailing Address	2301 TROOST AVE, KANSAS CITY, MO, 64108
Enumeration & Last Sync	Enumerated: 2023-12-22 \| CMS Record Updated: 2024-02-07
Authorized Official	CHRISTOPHE ALEXANDER (DO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2301 TROOST AVE, STE 101, KANSAS CITY, MO, 64108

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Plain-English Taxonomy & CMS Crosswalk (261Q00000X)

What Does Taxonomy Code 261Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261Q00000X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 70 (Clinic or Group Practice)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AESTHETIC LUXURY SPA LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: N/A \| License: `Verified` \| Primary: Secondary
`163WG0000X` — Registered Nurse, General Practice Plain English: Licensed & Credentialed Registered Nurse, General Practice	State: N/A \| License: `Verified` \| Primary: Secondary
`261QR0800X` — Clinic/Center, Recovery Care Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261Q00000X` — Clinic/Center Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AESTHETIC LUXURY SPA LLC (NPI #1043089733)