Active NPI
Adrian P Jackson, M.D.
- Orthopaedic Surgery of the Spine Physician
- Overland Park, KS
National Provider Identifier
1114985355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 04-31121
- Practice address
- 7840 W 165TH St Ste 280
Overland Park, KS 66223-3022 - Phone
- (913) 322-2700
- Fax
- (913) 322-7890
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 04-31121 | KS | Primary |
Addresses
Primary practice location
7840 W 165TH St Ste 280
Overland Park, KS 66223-3022
Mailing address
7900 College Blvd Ste 137
Overland Park, KS 66210-2194
Phone (913) 322-2700
Other practice location 1
23401 Prairie Star Pkwy Bldg B
Lenexa, KS 66227-7268
Phone (913) 322-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-31121 | KS | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Spine Care, P.a. | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
Locations
7840 W 165th St
Ste 280
Overland Park, KS 66223
Phone (913) 381-0622
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Overland Park, KS
- NPI 1376292318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1114985355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 COLLEGE BLVD STE 137",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102194",
"telephone_number": "913-322-2700",
"fax_number": "913-322-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7840 W 165TH ST STE 280",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662233022",
"telephone_number": "913-322-2700",
"fax_number": "913-322-7890"
}
],
"practiceLocations": [
{
"address_1": "23401 Prairie Star Pkwy Bldg B",
"address_purpose": "LOCATION",
"city": "Lenexa",
"state": "KS",
"postal_code": "662277268",
"country_code": "US",
"telephone_number": "913-322-2700",
"fax_number": "913-322-7890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "ADRIAN",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "KS",
"license": "04-31121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.