Cape Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CAPE CHIROPRACTIC CLINIC LLC

Practice address

1424 Kurre LN
Cape Girardeau, MO 63701-2254

Phone

(573) 334-0100

Fax

(573) 334-1465

NPI assigned

Sep 27, 2012

Last updated

Feb 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jered M Wayland, D.C.NPI 1114173143

Title

Owner

Phone

(573) 334-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jered Michael Wayland, D.C.

  • Chiropractor
  • Cape Girardeau, MO
  • NPI 1114173143
  Medicare reassignment Authorized official
• Arielle M Bohnert

  • Chiropractor
  • Cape Girardeau, MO
  • NPI 1003616004
  Medicare reassignment NPD
• Kathleen May King, DC

  • Chiropractor
  • Cape Girardeau, MO
  • NPI 1962364877
  Medicare reassignment NPD
• Alex J Rodewald

  • Chiropractor
  • Cape Girardeau, MO
  • NPI 1447050455
  Medicare reassignment NPD

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1306197504",
    "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",
            "fax_number": "573-334-1465"
        },
        {
            "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",
            "fax_number": "573-334-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "WAYLAND",
        "authorized_official_first_name": "JERED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-334-0100",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Cannon
• Angela Cannon
• Kuan Cao, DDS
• Capaha Park Inpatient Services, LLC
• Cape Care for Women, LLC
• Cape County Board Fordevelopmental Disabilities
• Cape County Otolaryngology Head & Neck Surgery Inc
• Cape County Private Ambulance Service, Inc.
• Cape Endodontics, LLC
• Cape Family Care LLC (Cape Family Care)

• 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 Feb 5, 2025; 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.