Individual provider Active NPI

Jason Alan Joy, DC

  • Chiropractor
  • Dodge City, KS
National Provider Identifier
1376627059
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104895 Issued in KS
Practice address
900 W Frontview St Ste 101
Dodge City, KS 67801-2233
Phone
(620) 225-8677
Fax
(620) 225-8679
NPI assigned
Oct 25, 2006
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 01-04895 KS
Chiropractor 111N00000X 0104895 KS Primary

Addresses

Primary practice location

900 W Frontview St Ste 101
Dodge City, KS 67801-2233

Mailing address

900 W Frontview St
St 101
Dodge City, KS 67801-2233
Phone (620) 225-8677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001415 KS Practitioner - Chiropractic 4385621846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 W Frontview St
Suite 101
Dodge City, KS 67801-2233
Phone (620) 225-8677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-04895KSMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Chiropractic, PA Sports Physician CurrentSince Feb 2, 2015 Accepting new patients

Locations

900 W Frontview St
Ste 101
Dodge City, KS 67801
Phone (620) 225-8677

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1376627059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W FRONTVIEW ST",
            "address_2": "ST 101",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012233",
            "telephone_number": "620-225-8677",
            "fax_number": "620-225-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W FRONTVIEW ST STE 101",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012233",
            "telephone_number": "620-225-8677",
            "fax_number": "620-225-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOY",
        "first_name": "JASON",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "KS",
            "license": "01-04895",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.