Active NPI
Jason Troy Wurtz, D.C.
- Chiropractor
- Smithville, MO
National Provider Identifier
1720291420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2001013757
- Practice address
- 302 W Meadow St
Suite a
Smithville, MO 64089-9362 - Phone
- (816) 532-4774
- Fax
- (856) 344-1360
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2001013757 | MO | Primary |
Addresses
Primary practice location
302 W Meadow St
Suite a
Smithville, MO 64089-9362
Mailing address
302 W Meadow St
Suite a
Smithville, MO 64089-9362
Phone (816) 532-4774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040525000655 | MO | Practitioner - Chiropractic | 7214928084 | Practice locations: Smithville, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
302 W Meadow St
Suite a
Smithville, MO 64089-9411
Phone (816) 532-4774
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001013757 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1720291420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 W MEADOW ST",
"address_2": "SUITE A",
"city": "SMITHVILLE",
"state": "MO",
"postal_code": "640899362",
"telephone_number": "816-532-4774",
"fax_number": "856-344-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 W MEADOW ST",
"address_2": "SUITE A",
"city": "SMITHVILLE",
"state": "MO",
"postal_code": "640899362",
"telephone_number": "816-532-4774",
"fax_number": "856-344-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WURTZ",
"first_name": "JASON",
"middle_name": "TROY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2001013757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.