Individual provider Active NPI

Kevin James Wheat, DC

  • Chiropractor
  • Jefferson City, MO
National Provider Identifier
1972694594
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005037600 Issued in MO
Practice address
1001 Diamond RDG Ste 900
Jefferson City, MO 65109-6839
Phone
(573) 636-3555
Fax
(573) 634-3545
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2005037600 MO Primary

Addresses

Primary practice location

1001 Diamond RDG Ste 900
Jefferson City, MO 65109-6839

Mailing address

1001 Diamond RDG Ste 900
Jefferson City, MO 65109-6839
Phone (573) 636-3555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000659 MO Practitioner - Chiropractic 1557383312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Wheat Chiropractic and Wellness Center LLCGroup PAC ID 6709808462, 3 clinicians

Practice addresses (Care Compare)

1001 Diamond RDG
Suite 900
Jefferson City, MO 65109-6839
Phone (573) 636-3555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04761KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wheat Chiropractic and Wellness Center, LLC Chiropractor CurrentSince Dec 7, 2005 Accepting new patients
Wheat Chiropractic & Wellness Center, LLC Chiropractor PastSince Feb 1, 2006 Accepting new patients

Locations

3216 Emerald Ln
Jefferson City, MO 65109
Phone (913) 710-8084

1001 Diamond Rdg
Ste 900
Jefferson Cty, MO 65109
Phone (573) 636-3555

Interoperability endpoints

  • Direct secure messaging: kwheat@wcwc0007.direct.chirotouch.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1972694594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 DIAMOND RDG STE 900",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096839",
            "telephone_number": "573-636-3555",
            "fax_number": "573-634-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DIAMOND RDG STE 900",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096839",
            "telephone_number": "573-636-3555",
            "fax_number": "573-634-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEAT",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005037600",
            "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 Feb 6, 2019; 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.