Dwayne Jones, MD, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

109157 Issued in MO

Legal business name

DWAYNE JONES, MD, LLC

Practice address

2790 Clay Edwards Dr
Kansas City, MO 64116-3276

Phone

(913) 647-4100

Fax

(913) 647-4120

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dwayne E Jones, MDNPI 1356317952

Title

President

Phone

(913) 961-1744

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO, KS3 enrollments

Enrollment records 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dwayne E Jones, M.D.

  • Interventional Pain Medicine Physician
  • Kansas City, MO
  • NPI 1356317952

  KS

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1285744458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "913-647-4100",
            "fax_number": "913-647-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "913-647-4100",
            "fax_number": "913-647-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWAYNE JONES, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-961-1744",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "109157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD4091",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507610103",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Dutt, LPC
• Leticia Duvivier, PH.D.
• Susan Duyar-Ayerdi, MD, MA
• Dva Renal Healthcare Inc
• Dva Renal Healthcare Inc
• Tejasvi Dwivedi, M.D.
• Brennae D Dworak
• Kara Dwornick
• Brittany Leann Dwyer, LMSW
• Martin E. Dybicz, PH.D.

• Pain Medicine (Anesthesiology) Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pain Medicine (Anesthesiology) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.