PROSPECT HEALTH SERVICES LLC
NPI 1982877668
Specialist in Kansas City, MO

Active since April 02, 2008
3129 BENTON BLVD, KANSAS CITY, MO 64128(816) 812-6393 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About PROSPECT HEALTH SERVICES LLC

This page provides the complete NPI Profile along with additional information for Prospect Health Services Llc, a provider established in Kansas City, Missouri operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1982877668 assigned on April 2008. The practitioner's primary taxonomy code is 174400000X with license number 36786 (MO). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Alfred W. Davis M. D. (Owner)

NPI
1982877668 Verify this NPI
Provider Name
PROSPECT HEALTH SERVICES LLC
Entity Type
Organization
Location Address
3129 BENTON BLVD KANSAS CITY, MO 64128
Location Phone
(816) 812-6393
Mailing Address
3129 BENTON BLVD KANSAS CITY, MO 64128
Mailing Phone
(816) 812-6393
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-02-2008
Last Update Date
04-02-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
36786
License State
MO
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ALFRED W. DAVIS M. D.

Authorized Official Title
OWNER
Authorized Official Phone
(816) 812-6393

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0007115DMEDICARE PIN (08)MO 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982877668, enumerated as an "organization" on April 02, 2008.

The provider is located at 3129 BENTON BLVD KANSAS CITY, MO 64128 and the phone number is (816) 812-6393.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.