Jonathan Jacobs MD LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JONATHAN JACOBS MD LLC

Practice address

12140 Nall Ave
Suite 100
Overland Park, KS 66209-2503

Phone

(913) 451-8500

Fax

(913) 451-8526

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Todd Jacobs, MD

Title

Owner

Phone

(913) 451-8500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1740476860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092503",
            "telephone_number": "913-451-8500",
            "fax_number": "913-451-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092503",
            "telephone_number": "913-451-8500",
            "fax_number": "913-451-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN JACOBS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-451-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Johnston, DPT
• Joseph Johnston, DC
• McLain Johnston
• Tyler Johnston
• Jon C Martinez DDS Inc
• Alisa Marie Jones, CCC-SLP
• Alison M Jones, D.D.S.
• Amy Katherine Jones
• Brittany Jones
• Claire Jones, LSCSW

• Clinic/Center in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.