Provider Demographics
NPI:1811495021
Name:JONES, JOHN WESLEY THOMAS (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WESLEY THOMAS
Last Name:JONES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20100 E JACKSON DR STE A
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057-2120
Mailing Address - Country:US
Mailing Address - Phone:816-200-7104
Mailing Address - Fax:
Practice Address - Street 1:20100 E JACKSON DR STE A
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-2120
Practice Address - Country:US
Practice Address - Phone:816-200-7104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-23
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017041464111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor