Individual provider Active NPI

Jonathan W Jantz, MD, FAAP

  • Pediatrics Physician
  • Newton, KS
National Provider Identifier
1952304677
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-22944 Issued in KS
Practice address
700 Medical Center Dr
Ste 150
Newton, KS 67114-9015
Phone
(316) 283-7100
Fax
(316) 283-7118
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 04-22944 KS Primary

Addresses

Primary practice location

700 Medical Center Dr
Ste 150
Newton, KS 67114-9015

Mailing address

PO Box 725
Newton, KS 67114-0725
Phone (316) 283-3627

Other identifiers 5

IdentifierTypeStateIssuer
1615419OtherKSHEALTH PARTNERS OF KANSAS
1952304677OtherKSBLUE CROSS BLUE SHIELD
100115710DMedicaidKS
1952304677OtherTRIWEST/TRICARE
1190OtherKSPREFERRED HEALTH

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-22944KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cottonwood Pediatrics, PA Pediatrics PastSince Jan 2, 2007 Accepting new patients
Newton Healthcare Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jonathan.jantz@khindirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1952304677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140725",
            "telephone_number": "316-283-3627",
            "fax_number": "316-283-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DR",
            "address_2": "STE 150",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149015",
            "telephone_number": "316-283-7100",
            "fax_number": "316-283-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANTZ",
        "first_name": "JONATHAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD, FAAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-22944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS OF KANSAS",
            "identifier": "1615419",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1952304677",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100115710D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST/TRICARE",
            "identifier": "1952304677",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "1190",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.