Revma Chiropractic Health Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2010007855 Issued in MO

Legal business name

REVMA CHIROPRACTIC HEALTH CENTER

Practice address

10001 E 67TH St
Raytown, MO 64133-5218

Phone

(816) 237-0102

NPI assigned

Nov 26, 2010

Last updated

Nov 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Jo Wiley, D.C.NPI 1437475589

Title

Chiropractor

Phone

(816) 237-0102

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Jo Wiley, DC

  • Chiropractor
  • Raytown, MO
  • NPI 1437475589
  NPD (past) Authorized official

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

{
    "created_epoch": "1290729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290729600000",
    "number": "1942502828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 E 67TH ST",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335218",
            "telephone_number": "816-237-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 E 67TH ST",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335218",
            "telephone_number": "816-237-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVMA CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-26",
        "last_updated": "2010-11-26",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "816-237-0102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010007855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reaching Out
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• Chiropractor in Raytown, MO
• Providers in Raytown, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.