NPIMap

Organization Active NPI

Wheat Chiropractic & Wellness Center, LLC

  • Chiropractor
  • Jefferson City, MO
National Provider Identifier
1093108904
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005037600 Issued in MO
Legal business name
WHEAT CHIROPRACTIC & WELLNESS CENTER, LLC
Practice address
1001 Diamond RDG Ste 900
Jefferson City, MO 65109-6839
Phone
(573) 636-3555
Fax
(573) 634-3545
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Authorized official

Name
Dr. Kevin Wheat, D.C.NPI 1972694594
Title
Owner
Phone
(573) 636-3555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2005037600 MO Primary

Addresses

Primary practice location

1001 Diamond RDG Ste 900
Jefferson City, MO 65109-6839

Mailing address

1001 Diamond RDG Ste 900
Jefferson City, MO 65109-6839
Phone (573) 636-3555

National Provider Directory

National Provider Directory
Tax ID family
Wheat Chiropractic and Wellness Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1001 Diamond Rdg
Ste 900
Jefferson Cty, MO 65109
Phone (573) 636-3555

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1093108904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 DIAMOND RDG STE 900",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096839",
            "telephone_number": "573-636-3555",
            "fax_number": "573-634-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DIAMOND RDG STE 900",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096839",
            "telephone_number": "573-636-3555",
            "fax_number": "573-634-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEAT CHIROPRACTIC & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "WHEAT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-636-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005037600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.