Active NPI
Jeff Wilson Chiropractic, Inc
Doing business as paola chiropractic
- Sports Physician Chiropractor
- Paola, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- KS4077
- Legal business name
- JEFF WILSON CHIROPRACTIC, INC
- Doing business as
- paola chiropractic
- Practice address
- 820 1/2 N Pearl St
Paola, KS 66071-1138 - Phone
- (913) 294-9993
- Fax
- (913) 294-9991
- NPI assigned
- Jul 13, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Jeff A Wilson, D.C.
- Title
- Chiropractor
- Phone
- (913) 294-9993
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | KS4077 | KS | Primary |
Addresses
Primary practice location
820 1/2 N Pearl St
Paola, KS 66071-1138
Mailing address
820 1/2 N Pearl St
Paola, KS 66071-1138
Phone (913) 294-9993
Other names 1
- paola chiropractic
National Provider Directory
National Provider DirectoryLocations
105 E Main St
Osawatomie, KS 66064
Phone (913) 755-3933
820 N Pearl St
Paola, KS 66071
Phone (913) 294-9993
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Paola, KS
- NPI 1265464242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356366173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 1/2 N PEARL ST",
"city": "PAOLA",
"state": "KS",
"postal_code": "660711138",
"telephone_number": "913-294-9993",
"fax_number": "913-294-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 1/2 N PEARL ST",
"city": "PAOLA",
"state": "KS",
"postal_code": "660711138",
"telephone_number": "913-294-9993",
"fax_number": "913-294-9991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFF WILSON CHIROPRACTIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JEFF",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "913-294-9993",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "KS",
"license": "KS4077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "paola chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Paola, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.