Active NPI
Jon McCormick, D.C.
- Chiropractor
- Lawrence, KS
National Provider Identifier
1295913317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0105147
- Practice address
- 1104 E 23Rd St
Lawrence, KS 66046-5004 - Phone
- (785) 749-0130
- Fax
- (785) 749-0132
- NPI assigned
- Jan 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 0105147 | KS | Primary |
Addresses
Primary practice location
1104 E 23Rd St
Lawrence, KS 66046-5004
Mailing address
12301 W 65TH Ter
Shawnee, KS 66216-2785
Phone (913) 268-9910
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Medical Group LLC | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1295913317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12301 W 65TH TER",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662162785",
"telephone_number": "913-268-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 E 23RD ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660465004",
"telephone_number": "785-749-0130",
"fax_number": "785-749-0132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "JON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-31",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "0105147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.