Organization Active NPI

Wheat Chiropractic and Wellness Center, LLC

  • Chiropractor
  • Jefferson City, MO
National Provider Identifier
1346331972
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005037600 Issued in MO
Legal business name
WHEAT CHIROPRACTIC AND WELLNESS CENTER, LLC
Practice address
1001 Diamond RDG Ste 900
Jefferson City, MO 65109-6839
Phone
(573) 636-3555
Fax
(573) 634-3545
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Mr. Kevin James Wheat, DCNPI 1972694594
Title
Owner Manager
Phone
(573) 636-3555

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 2005037600 MO Primary

Addresses

Primary practice location

1001 Diamond RDG Ste 900
Jefferson City, MO 65109-6839

Mailing address

1001 Diamond RDG Ste 900
Jefferson City, MO 65109-6839
Phone (573) 636-3555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051221000692 MO Part B Supplier - Clinic/Group Practice 6709808462 Receives reassigned benefits from 3 practitioners
Practice locations: Jefferson City, MO

National Provider Directory

National Provider Directory
Tax ID family
Wheat Chiropractic and Wellness Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3121 Emerald Ln
Ste 1000
Jefferson City, MO 65109
Phone (573) 636-3555

3216 Emerald Ln
Jefferson City, MO 65109
Phone (913) 710-8084

Interoperability endpoints

  • Direct secure messaging: csogard@wcwc0007.direct.chirotouch.md
  • Direct secure messaging: kwheat@wcwc0007.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 3

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1346331972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 DIAMOND RDG STE 900",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096839",
            "telephone_number": "573-636-3555",
            "fax_number": "573-634-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DIAMOND RDG STE 900",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096839",
            "telephone_number": "573-636-3555",
            "fax_number": "573-634-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEAT CHIROPRACTIC AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "WHEAT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "573-636-3555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005037600",
            "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 Feb 6, 2019; 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.