Organization Active NPI

Joseph S Kayser DC PC

  • Chiropractor
  • Jefferson City, MO
National Provider Identifier
1154417483
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2963 Issued in MO
Legal business name
JOSEPH S KAYSER DC PC
Practice address
1011 Southwest Blvd
Jefferson City, MO 65109-2569
Phone
(573) 635-6767
Fax
(573) 636-3007
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Dr. Richard V Kayser, DCNPI 1497844195
Title
Doctor
Phone
(573) 635-6767

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 2963 MO Primary

Addresses

Primary practice location

1011 Southwest Blvd
Jefferson City, MO 65109-2569

Mailing address

1011 Southwest Blvd
Jefferson City, MO 65109-2569
Phone (573) 635-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070416000007 MO Part B Supplier - Clinic/Group Practice 3375648652 Receives reassigned benefits from 2 practitioners
Practice locations: Jefferson City, MO

National Provider Directory

National Provider Directory

Locations

1011 Southwest Blvd
Jefferson Cty, MO 65109
Phone (573) 635-6767

Practitioners & affiliated clinicians

Practitioners 2

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1154417483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 SOUTHWEST BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092569",
            "telephone_number": "573-635-6767",
            "fax_number": "573-636-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 SOUTHWEST BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092569",
            "telephone_number": "573-635-6767",
            "fax_number": "573-636-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH S KAYSER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "KAYSER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "573-635-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2963",
            "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 Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.