Active NPI
Carbon Health Alpha Primary Care of Kansas PA
- Primary Care Clinic/Center
- Overland Park, KS
National Provider Identifier
1952012205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CARBON HEALTH ALPHA PRIMARY CARE OF KANSAS PA
- Practice address
- 4817 W 119TH St Ste 120
Overland Park, KS 66209-1560 - Phone
- (913) 298-2743
- NPI assigned
- Dec 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaitlin Boyle
- Title
- Director
- Phone
- (303) 601-5392
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
4817 W 119TH St Ste 120
Overland Park, KS 66209-1560
Mailing address
2100 Franklin St Ste 355
Oakland, CA 94612-3140
National Provider Directory
National Provider DirectoryLocations
4817 W 119th St
Ste 120
Overland Park, KS 66209
Phone (913) 298-2743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721088000000",
"number": "1952012205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 FRANKLIN ST STE 355",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4817 W 119TH ST STE 120",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662091560",
"telephone_number": "913-298-2743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARBON HEALTH ALPHA PRIMARY CARE OF KANSAS PA",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-07",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A",
"authorized_official_last_name": "BOYLE",
"authorized_official_first_name": "KAITLIN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "303-601-5392"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.