Basic Information
Provider Information
NPI: 1932257169
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PRIER
FirstName: GREGORY
MiddleName: ALAN
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 21350 W 153RD ST
Address2:  
City: OLATHE
State: KS
PostalCode: 660615413
CountryCode: US
TelephoneNumber: 9133224950
FaxNumber:  
Practice Location
Address1: 4300 BRENNER DR
Address2:  
City: KANSAS CITY
State: KS
PostalCode: 661041163
CountryCode: US
TelephoneNumber: 9133340294
FaxNumber: 9138256481
Other Information
ProviderEnumerationDate: 01/05/2007
LastUpdateDate: 05/11/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/11/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XDOS1084HIN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800X036-114730ILN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800X20A9432CAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800X05-43045KSY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

ID Information
IDTypeStateIssuerDescription
DOS108401HIMDX HAWAIIOTHER
85296101HIUNIVERSITY HEALTH ALLIANCOTHER
000025735201HIHMSA-QUESTOTHER
000025735201HIHMSAOTHER
201287210A05KS MEDICAID
5726370101HIALOHACAREOTHER
5726370105HI MEDICAID


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