Organization Active NPI

Pro T Med, LLC

  • Family Medicine Physician
  • Topeka, KS
National Provider Identifier
1740606482
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-19469 Issued in KS
Legal business name
PRO T MED, LLC
Practice address
1125 SW Gage Blvd
Suite C
Topeka, KS 66604-2280
Phone
(785) 783-3706
Fax
(785) 783-3680
NPI assigned
Mar 5, 2014
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. David A Jones, D.O.
Title
Owner
Phone
(785) 783-3706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 05-19469 KS Primary

Addresses

Primary practice location

1125 SW Gage Blvd
Suite C
Topeka, KS 66604-2280

Mailing address

1125 SW Gage Blvd
Suite C
Topeka, KS 66604-2280
Phone (785) 783-3706

National Provider Directory

National Provider Directory

Locations

1125 SW Gage Blvd
Ste C
Topeka, KS 66604
Phone (785) 232-7324

NPI Registry JSON

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1740606482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 SW GAGE BLVD",
            "address_2": "SUITE C",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042280",
            "telephone_number": "785-783-3706",
            "fax_number": "785-783-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SW GAGE BLVD",
            "address_2": "SUITE C",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042280",
            "telephone_number": "785-783-3706",
            "fax_number": "785-783-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO T MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-783-3706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-19469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.