Organization Active NPI

Kai Davis Prosthetics LLC

  • Prosthetist
  • Richardson, TX
National Provider Identifier
1306480371
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
KAI DAVIS PROSTHETICS LLC
Practice address
500 N Coit Rd Ste 2078
Richardson, TX 75080-6221
Phone
(214) 897-3585
Fax
(214) 242-2240
NPI assigned
Nov 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kai Gregory Davis, CPNPI 1720219959
Title
Owner/Director
Phone
(214) 897-3585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthetistGroup: 193400000X SINGLE SPECIALTY GROUP 224P00000X Primary

Addresses

Primary practice location

500 N Coit Rd Ste 2078
Richardson, TX 75080-6221

Mailing address

500 N Coit Rd Ste 2078
Richardson, TX 75080-6221
Phone (214) 897-3585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200407000896 TX DME Supplier - Certified Orth/Pros/PedorthistDME Supplier - Orthotic Personnel 6709215114 Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

900 N Coit Rd
Ste 2703
Richardson, TX 75080
Phone (214) 897-3585

500 N Coit Rd
Ste 2078
Richardson, TX 75080
Phone (214) 897-3585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1306480371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N COIT RD STE 2078",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750806221",
            "telephone_number": "214-897-3585",
            "fax_number": "214-242-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N COIT RD STE 2078",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750806221",
            "telephone_number": "214-897-3585",
            "fax_number": "214-242-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAI DAVIS PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-03",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KAI",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "214-897-3585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.