Individual provider Active NPI

Jon Daric Messenger, D.C.

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1467615245
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05124 Issued in KS
Practice address
7570 W 21St St N Ste 1006a
Wichita, KS 67205-1773
Phone
(316) 337-5757
Fax
(316) 337-5758
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05124 KS Primary

Addresses

Primary practice location

7570 W 21St St N Ste 1006a
Wichita, KS 67205-1773

Mailing address

7570 W 21St St N Ste 1006a
Wichita, KS 67205-1773
Phone (316) 337-5757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090203000743 KS Practitioner - Chiropractic 2163586322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Sports Chiropractic LLCGroup PAC ID 4880831734, 3 clinicians

Practice addresses (Care Compare)

7570 W 21St St N
Suite 1006a
Wichita, KS 67205-1773
Phone (316) 337-5757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05124KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness @ Work, PA Chiropractor PastSince Jun 1, 2001 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1467615245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1006A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051773",
            "telephone_number": "316-337-5757",
            "fax_number": "316-337-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1006A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051773",
            "telephone_number": "316-337-5757",
            "fax_number": "316-337-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSENGER",
        "first_name": "JON",
        "middle_name": "DARIC",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.