Healthcare Provider Details

I. General information

NPI: 1336726025
Provider Name (Legal Business Name): RUBEN BUENO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2021
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10730 NALL AVE
OVERLAND PARK KS
66211-1366
US

IV. Provider business mailing address

10730 NALL AVE STE 2000
OVERLAND PARK KS
66211-1366
US

V. Phone/Fax

Practice location:
  • Phone: 913-945-9892
  • Fax: 913-588-1227
Mailing address:
  • Phone: 913-945-9892
  • Fax: 913-588-1227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number04-53527
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: