Healthcare Provider Details

I. General information

NPI: 1013132265
Provider Name (Legal Business Name): DANIEL C FARRELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2007
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11340 NALL AVE STE 200
OVERLAND PARK KS
66211-1234
US

IV. Provider business mailing address

2861 NE INDEPENDENCE AVE STE 201
LEES SUMMIT MO
64064-2379
US

V. Phone/Fax

Practice location:
  • Phone: 816-525-2840
  • Fax: 816-525-2841
Mailing address:
  • Phone: 816-525-2840
  • Fax: 816-525-2841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number04-33232
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: