Active NPI
David Alan Noll, MD
- Orthopaedic Surgery Physician
- Kansas City, MO
National Provider Identifier
1841490109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2007022064
- Practice address
- 6420 Prospect Ave
T-207
Kansas City, MO 64132-4147 - Phone
- (816) 276-9100
- Fax
- (816) 276-9101
- NPI assigned
- Jul 24, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2007022064 | MO | Primary |
Addresses
Primary practice location
6420 Prospect Ave
T-207
Kansas City, MO 64132-4147
Mailing address
6420 Prospect Ave
T-207
Kansas City, MO 64132-4147
Phone (816) 276-9100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100452440B | Medicaid | KS | |
| 1063468361 | Medicaid | MO | |
| 207323106 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007022064 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Trauma Services, LLC | Past | Accepting new patients | |
| Gregory L Hummel MD PC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Independence, MO
- NPI 1942377320
-
- Trauma Surgery Physician
- Kansas City, MO
- NPI 1063468361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246924800000",
"number": "1841490109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 PROSPECT AVE",
"address_2": "T-207",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641324147",
"telephone_number": "816-276-9100",
"fax_number": "816-276-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 PROSPECT AVE",
"address_2": "T-207",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641324147",
"telephone_number": "816-276-9100",
"fax_number": "816-276-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLL",
"first_name": "DAVID",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-24",
"last_updated": "2009-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2007022064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100452440B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063468361",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207323106",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.