John Elijah Warren, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2015000069 Issued in MO

Practice address

2145 William St
Cape Girardeau, MO 63703-5817

Phone

(573) 380-2778

NPI assigned

Dec 29, 2009

Last updated

May 11, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Warren New Life Chiropractic a Professional Corporation

  • Chiropractor
  • Cape Girardeau, MO
  • NPI 1144608167
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1609106442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 WILLIAM ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035817",
            "telephone_number": "573-380-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 WILLIAM ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035817",
            "telephone_number": "573-380-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JOHN",
        "middle_name": "ELIJAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-29",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015000069",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Cathleen Ward, MSN, APRN, FNP-BC
• Salena Marie Ward
• Sophia Ward
• Amanda Leann Wareing, APRN, FNP-C
• Warren New Life Chiropractic a Professional Corporation
• Danielle Nichole Wash, LPC, NCC
• Cheryl Wasilewski, P.T.
• Susan Watkins
• Jered Michael Wayland, D.C.
• Susan Weaver

• Chiropractor in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.