Healthcare Provider Details

I. General information

NPI: 1366897332
Provider Name (Legal Business Name): DANIEL F JONES D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2016
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12541 FOSTER ST STE 300
OVERLAND PARK KS
66213-2304
US

IV. Provider business mailing address

12541 FOSTER ST STE 300
OVERLAND PARK KS
66213-2304
US

V. Phone/Fax

Practice location:
  • Phone: 913-317-3200
  • Fax: 913-317-3218
Mailing address:
  • Phone: 913-317-3200
  • Fax: 913-317-3218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number05-52429
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: