KYLE DAVIS
NPI 1558010496
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 19, 2022PECOS Enrolled
1008 S SPRING AVE, SAINT LOUIS, MO 63110(314) 977-8884 Get Directions Write a Review

NPPES record last updated: March 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE DAVIS (NPI 1558010496) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558010496
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE DAVIS
Location Address1008 S SPRING AVESaint Louis, MO 63110-2520
Mailing Address1008 S Spring AveSaint Louis, MO 63110-2520 · (314) 977-8884
Sole ProprietorNo
Enumeration DateMarch 19, 2022
NPPES CertifiedMarch 19, 2022
NPI 1558010496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1008 S SPRING AVE, Saint Louis, MO 63110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kyle Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
1008 S SPRING AVE
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
1008 S SPRING AVE
SAINT LOUIS, MO 63110
Orthopaedic Surgery
1008 S SPRING AVE
SAINT LOUIS, MO 63110
Psychiatry & Neurology (Neurology)
1008 S SPRING AVE
SAINT LOUIS, MO 63110
Surgery (Vascular Surgery)
1008 S SPRING AVE
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
1008 S SPRING AVE
SAINT LOUIS, MO 63110
Otolaryngology
1008 S SPRING AVE
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
1008 S SPRING AVE
SAINT LOUIS, MO 63110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Davis's NPI number?

The NPI number for Kyle Davis is 1558010496. It was assigned to this individual provider in the NPPES registry on March 19, 2022.

Where is Kyle Davis located?

Kyle Davis practices at 1008 S Spring Ave, Saint Louis, MO 63110. The listed phone number is (314) 977-8884.

What is Kyle Davis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kyle Davis enrolled in Medicare?

Yes. Kyle Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Davis was last updated on March 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.