Active NPI
Darrin Alexander Davis, DO
- Family Medicine Physician
- Olathe, KS
National Provider Identifier
1104879295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0526609
- Practice address
- 15710 W 135TH St Ste 200
Olathe, KS 66062-1508 - Phone
- (913) 297-7472
- Fax
- (844) 413-7208
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2021042797 | MO | |
| Family Medicine Physician | 207Q00000X | 0526609 | KS | Primary |
Addresses
Primary practice location
15710 W 135TH St Ste 200
Olathe, KS 66062-1508
Mailing address
15710 W 135TH St Ste 200
Olathe, KS 66062-1508
Phone (913) 297-7472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100317360A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220120002389 | KS | Order and Referring Only - Family Practice | 9234271487 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0526609 | KS | MD | Family Medicine Physician |
| 2021042797 | MO | MD | Family Medicine Physician |
Interoperability endpoints
- darrin.davis.1@16552.direct.athenahealth.com
- ddavis755562@direct.kuha.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1104879295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15710 W 135TH ST STE 200",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621508",
"telephone_number": "913-297-7472",
"fax_number": "844-413-7208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15710 W 135TH ST STE 200",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621508",
"telephone_number": "913-297-7472",
"fax_number": "844-413-7208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DARRIN",
"middle_name": "ALEXANDER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2021042797",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "0526609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100317360A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.