Jeff Wilson Chiropractic, Inc

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

KS4077 Issued in KS

Legal business name

JEFF WILSON CHIROPRACTIC, INC

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other names 1

• paola chiropractic Doing business as

Locations

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"
        }
    ]
}

• Jean Marie Hoyt, LSCSW
• Robin L Huffman
• Blaire E Hunt-Lobdell
• Jennifer R Jackson-Colburn, LSCSW
• Hannah January, LMFT
• Jennie Jennings
• Alex R Johnson, MD
• Donna R Johnson, LCP
• Debbie Ann Jones
• Kansas City Doulas LLC

• All providers in Paola, KS
• Sports Physician Chiropractor in Kansas

• 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.

Verify at the official NPI Registry.