Active NPI
Todd James Winters, D.C.
- Chiropractor
- Gardner, KS
National Provider Identifier
1033168752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-04455
- Practice address
- 802 E Main St
Gardner, KS 66030-1287 - Phone
- (913) 856-8135
- Fax
- (913) 856-8135
- NPI assigned
- May 9, 2006
- Last updated
- Oct 24, 2011
- 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 | 01-04455 | KS | Primary |
Addresses
Primary practice location
802 E Main St
Gardner, KS 66030-1287
Mailing address
802 E Main St
Gardner, KS 66030-1287
Phone (913) 856-8135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100454150A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060105000708 | KS | Practitioner - Chiropractic | 3779506647 | Practice locations: Gardner, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
802 E Main St
Gardner, KS 66030-1287
Phone (913) 884-4563
802 Main St
Gardner, KS 66030-1287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-04455 | KS | MD | Chiropractor |
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1033168752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 E MAIN ST",
"city": "GARDNER",
"state": "KS",
"postal_code": "660301287",
"telephone_number": "913-856-8135",
"fax_number": "913-856-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 E MAIN ST",
"city": "GARDNER",
"state": "KS",
"postal_code": "660301287",
"telephone_number": "913-856-8135",
"fax_number": "913-856-8135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTERS",
"first_name": "TODD",
"middle_name": "JAMES",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100454150A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gardner, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.