Active NPI
Jared Joe Shoemaker, D.C.
- Chiropractor
- Maize, KS
National Provider Identifier
1215282371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05496
- Practice address
- 4041 N Maize Rd
Suite 220
Maize, KS 67101-8912 - Phone
- (316) 295-4703
- NPI assigned
- Jul 16, 2012
- Last updated
- Jul 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05496 | KS | Primary |
Addresses
Primary practice location
4041 N Maize Rd
Suite 220
Maize, KS 67101-8912
Mailing address
4041 N Maize Rd
Suite 220
Maize, KS 67101-8912
Phone (316) 295-4703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4041 N Maize Rd
Suite 220
Maize, KS 67101-8901
Phone (316) 295-4703
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Maize, KS
- NPI 1437410669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342396800000",
"number": "1215282371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 N MAIZE RD",
"address_2": "SUITE 220",
"city": "MAIZE",
"state": "KS",
"postal_code": "671018912",
"telephone_number": "316-295-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 N MAIZE RD",
"address_2": "SUITE 220",
"city": "MAIZE",
"state": "KS",
"postal_code": "671018912",
"telephone_number": "316-295-4703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOEMAKER",
"first_name": "JARED",
"middle_name": "JOE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-16",
"last_updated": "2012-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maize, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.