Individual provider Active NPI

Richard Vincent Kayser, DC

  • Nutrition Chiropractor
  • Jefferson City, MO
National Provider Identifier
1497844195
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
5932 Issued in MO
Practice address
1011 Southwest Blvd
Jefferson City, MO 65109-2569
Phone
(573) 635-6767
Fax
(573) 636-3007
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 5932 MO Primary

Addresses

Primary practice location

1011 Southwest Blvd
Jefferson City, MO 65109-2569

Mailing address

1011 Southwest Blvd
Jefferson City, MO 65109-2569
Phone (573) 635-6767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070416000020 MO Practitioner - Chiropractic 7911002290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph S Kayser DC PCGroup PAC ID 3375648652, 2 clinicians

Practice addresses (Care Compare)

1011 Southwest Blvd
Jefferson City, MO 65109-2569
Phone (573) 635-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5932MOMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph S Kayser DC PC Nutrition CurrentSince Jan 24, 2007 Accepting new patients

Locations

1011 Southwest Blvd
Jefferson Cty, MO 65109
Phone (573) 635-6767

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1497844195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 SOUTHWEST BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092569",
            "telephone_number": "573-635-6767",
            "fax_number": "573-636-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 SOUTHWEST BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092569",
            "telephone_number": "573-635-6767",
            "fax_number": "573-636-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYSER",
        "first_name": "RICHARD",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MO",
            "license": "5932",
            "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 Jul 28, 2008; 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.