Jered Michael Wayland, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2009003271 Issued in MO

Practice address

1424 Kurre LN
Cape Girardeau, MO 63701-2254

Phone

(573) 334-0100

NPI assigned

Aug 11, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cape Chiropractic Clinic LLC

  • Chiropractor
  • Cape Girardeau, MO
  • NPI 1306197504
  Medicare reassignment Authorized official
• Victory Spinal Care LLC

  • Chiropractor
  • Abilene, TX
  • NPI 1043022528
  NPD (past) Authorized official
• Victory Spinal Care LLC

  • Chiropractor
  • Bixby, OK
  • NPI 1932916863
  NPD (past) Authorized official
• Victory Spinal Care Lubbock LLC

  • Chiropractor
  • Lubbock, TX
  • NPI 1235940016
  NPD (past) Authorized official
• Victory Spinal Care Waco LLC

  • Chiropractor
  • Waco, TX
  • NPI 1730973629
  NPD (past) Authorized official
• Bioblu, LLC

  • Chiropractor
  • Hickory Hills, IL
  • NPI 1346495512
  NPD (past)

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1114173143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 KURRE LN",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012254",
            "telephone_number": "573-334-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 KURRE LN",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012254",
            "telephone_number": "573-334-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYLAND",
        "first_name": "JERED",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009003271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren New Life Chiropractic a Professional Corporation
• John Elijah Warren, DC
• Danielle Nichole Wash, LPC, NCC
• Cheryl Wasilewski, P.T.
• Susan Watkins
• Susan Weaver
• Delandric Webb
• Nancy E Weber-Bornstein, M.D.
• Zachary Michael Weber, ATC
• Patricia Wehmeyer, PHARMD

• Chiropractor in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.