Active NPI
John D. L. Nolen, M.D.
- Pediatric Pathology Physician
- Overland Park, KS
National Provider Identifier
1144430190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pathology Physician
- License
- 2017032124
- Practice address
- 5808 W 110TH St
Overland Park, KS 66211-2504 - Phone
- (913) 696-8000
- Fax
- (816) 302-9939
- NPI assigned
- May 22, 2007
- Last updated
- Apr 28, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pathology Physician | 207ZP0213X | 040271 | KS | |
| Pediatric Pathology Physician | 207ZP0213X | 2017032124 | MO | Primary |
Addresses
Primary practice location
5808 W 110TH St
Overland Park, KS 66211-2504
Mailing address
2401 Gillham Rd
Provider Enrollment Dept
Kansas City, MO 64108-4619
Phone (816) 701-5200
Other practice location 1
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040271 | KS | MD | Pediatric Pathology Physician |
| 2017032124 | MO | MD | Pediatric Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1144430190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"address_2": "PROVIDER ENROLLMENT DEPT",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-701-5200",
"fax_number": "816-302-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5808 W 110TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662112504",
"telephone_number": "913-696-8000",
"fax_number": "816-302-9939"
}
],
"practiceLocations": [
{
"address_1": "2401 Gillham Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641084619",
"country_code": "US",
"telephone_number": "816-234-3000",
"fax_number": "816-302-9939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLEN",
"first_name": "JOHN",
"middle_name": "D. L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "KS",
"license": "040271",
"primary": false
},
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "MO",
"license": "2017032124",
"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 Apr 28, 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.