Individual provider Active NPI

Roger Wyatt Owens, D.C.

  • Chiropractor
  • Jefferson City, MO
National Provider Identifier
1932108941
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005470 Issued in MO
Practice address
3349 American Ave
Suite B
Jefferson City, MO 65109-1079
Phone
(573) 635-9655
Fax
(573) 635-6741
NPI assigned
Jul 20, 2005
Last updated
Aug 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005470 MO Primary

Addresses

Primary practice location

3349 American Ave
Suite B
Jefferson City, MO 65109-1079

Mailing address

2716 Cedarwood CT
Jefferson City, MO 65109-9309
Phone (573) 634-7194

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407000571 MO Practitioner - Chiropractic 2769439157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Quest Physicians Group, LLCGroup PAC ID 4284651274, 4 clinicians

Practice addresses (Care Compare)

3349 American Ave
Suite B
Jefferson City, MO 65109-1080
Phone (573) 635-9655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Quest Physicians Group, LLC Chiropractor CurrentSince Apr 26, 2005 Accepting new patients
Health Quest Physical Therapy LLC PastSince Apr 26, 2005 Accepting new patients

Locations

3349 American Ave
Ste B
Jefferson Cty, MO 65109
Phone (573) 635-9655

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, 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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1932108941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 CEDARWOOD CT",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651099309",
            "telephone_number": "573-634-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 AMERICAN AVE",
            "address_2": "SUITE B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091079",
            "telephone_number": "573-635-9655",
            "fax_number": "573-635-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "ROGER",
        "middle_name": "WYATT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005470",
            "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 Aug 2, 2011; 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.