Individual provider Active NPI

Jose Jesus Guerra Jr., DC

  • Chiropractor
  • Blue Springs, MO
National Provider Identifier
1518623149
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2021043667 Issued in MO
Practice address
320 NW Woods Chapel Rd Ste a
Blue Springs, MO 64015-3289
Phone
(816) 228-8900
NPI assigned
Nov 9, 2021
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2021043667 MO Primary

Addresses

Primary practice location

320 NW Woods Chapel Rd Ste a
Blue Springs, MO 64015-3289

Mailing address

320 NW Woods Chapel Rd Ste a
Blue Springs, MO 64015-3289
Phone (816) 228-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206001462 MO Practitioner - Chiropractic 2567998024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucker Chiropractic PCGroup PAC ID 1658324900, 2 clinicians

Practice addresses (Care Compare)

320 NW Woods Chapel Rd
Suite a
Blue Springs, MO 64015-3289
Phone (816) 228-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tucker Chiropractic P.C. Chiropractor CurrentSince Oct 2, 2024 Accepting new patients

Locations

320 NW Woods Chapel Rd
Ste A
Blue Springs, MO 64015
Phone (816) 228-8900

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": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1518623149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 NW WOODS CHAPEL RD STE A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153289",
            "telephone_number": "816-228-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 NW WOODS CHAPEL RD STE A",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153289",
            "telephone_number": "816-228-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "JOSE",
        "middle_name": "JESUS",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021043667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.