Active NPI
Wheat Chiropractic and Wellness Center, LLC
- Chiropractor
- Jefferson City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2005037600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kevin James Wheat, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider Directory- Tax ID family
- Wheat Chiropractic and Wellness Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Jefferson City, MO
- NPI 1093108904
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
- csogard@wcwc0007.direct.chirotouch.md
- 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.
-
- Chiropractor
- Jefferson City, MO
- NPI 1972694594
-
- Chiropractor
- Jefferson City, MO
- NPI 1134470420
-
- Chiropractor
- Jefferson City, MO
- NPI 1760319933
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.