NPIMap

Organization Active NPI

Foot Specialists of Kansas City, PA

  • Foot & Ankle Surgery Podiatrist
  • Overland Park, KS
National Provider Identifier
1689604050
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1200184 Issued in KS
Legal business name
FOOT SPECIALISTS OF KANSAS CITY, PA
Practice address
9119 W 74TH St
Suite 352
Overland Park, KS 66204-2236
Phone
(913) 677-3600
Fax
(913) 432-7624
NPI assigned
Jul 3, 2006
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Daniel Joseph ThouvenotNPI 1881031730
Title
Owner
Phone
(314) 909-1920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1200184 KS Primary

Addresses

Primary practice location

9119 W 74TH St
Suite 352
Overland Park, KS 66204-2236

Mailing address

9119 W 74TH St Ste 352
Overland Park, KS 66204-2229
Phone (913) 677-3600

Other identifiers 1

IdentifierTypeStateIssuer
32555014OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060316000341 KS Part B Supplier - Clinic/Group Practice 5496762411 Receives reassigned benefits from 14 practitioners
Practice locations: Lansing, KS; Leawood, KS; Lenexa, KS; Olathe, KS
O20240123004188 KS DME Supplier - Physician - Podiatry 5496762411 Practice locations: Lenexa, KS

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Foot Specialists of Kansas City PA16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

9119 W 74th St
Ste 352
Shawnee Msn, KS 66204
Phone (913) 677-3600

3600 NE Ralph Powell Rd
Ste D
Lees Summit, MO 64064
Phone (816) 554-8300

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1689604050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST STE 352",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042229",
            "telephone_number": "913-677-3600",
            "fax_number": "913-432-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "address_2": "SUITE 352",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042236",
            "telephone_number": "913-677-3600",
            "fax_number": "913-432-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SPECIALISTS OF KANSAS CITY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "THOUVENOT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-909-1920"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KS",
            "license": "1200184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "32555014",
            "state": "KS"
        }
    ],
    "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 Jan 8, 2026; 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.