Organization Active NPI

Washington Chiropractic & Wellness Clinic, Inc.

  • Chiropractor
  • Washington, KS
National Provider Identifier
1003520552
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WASHINGTON CHIROPRACTIC & WELLNESS CLINIC, INC.
Practice address
307 C St
Washington, KS 66968-1908
Phone
(785) 325-3591
Fax
(785) 325-3596
NPI assigned
Jan 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Sara Baskerville-Crome, D.C., DC
Title
Owner
Phone
(785) 325-3591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

307 C St
Washington, KS 66968-1908

Mailing address

307 C St
Washington, KS 66968-1908
Phone (785) 325-3591

Other names 1

  • Washington Chiropractic & Wellness Clinic Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL chirotouch Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230206003066 KS Part B Supplier - Clinic/Group Practice 2163894874 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, KS

National Provider Directory

National Provider Directory

Locations

307 C St
Washington, KS 66968
Phone (785) 325-3591

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1003520552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 C ST",
            "city": "WASHINGTON",
            "state": "KS",
            "postal_code": "669681908",
            "telephone_number": "785-325-3591",
            "fax_number": "785-325-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 C ST",
            "city": "WASHINGTON",
            "state": "KS",
            "postal_code": "669681908",
            "telephone_number": "785-325-3591",
            "fax_number": "785-325-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON CHIROPRACTIC & WELLNESS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "BASKERVILLE-CROME, D.C.",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-325-3591",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chirotouch",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "307 C St",
            "city": "Washington",
            "state": "KS",
            "country_code": "US",
            "postal_code": "669681908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Washington Chiropractic & Wellness Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Washington Chiropractic & Wellness Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Washington, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.