Individual provider Active NPI

Jonathan L Streit, D.C

  • Chiropractor
  • Derby, KS
National Provider Identifier
1053562553
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05583 Issued in KS
Practice address
2307 N Rock Rd Ste 500
Derby, KS 67037
Phone
(316) 867-0874
NPI assigned
Oct 2, 2008
Last updated
Dec 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05583 KS Primary

Addresses

Primary practice location

2307 N Rock Rd Ste 500
Derby, KS 67037

Mailing address

2307 N Rock Rd Ste 500
Derby, KS 67037-3855
Phone (316) 867-0874

Other practice location 1

1423 S Sierra Hills St
Wichita, KS 67230
Phone (719) 930-5486

Other practice location 2

2307 N Rock Rd Ste 500
Derby, KS 67037-3855
Phone (316) 867-0874

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

State licenses

LicenseStateTypeSpecialty
01-05583KSMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1053562553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 N ROCK RD STE 500",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373855",
            "telephone_number": "316-867-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 N ROCK RD STE 500",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "67037",
            "telephone_number": "316-867-0874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1423 S Sierra Hills St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67230",
            "country_code": "US",
            "telephone_number": "719-930-5486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2307 N Rock Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "KS",
            "postal_code": "670373855",
            "country_code": "US",
            "telephone_number": "316-867-0874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STREIT",
        "first_name": "JONATHAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.