Individual provider Active NPI

Kevin Dwayne Zwiener, D.C.

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1053422584
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04414 Issued in KS
Practice address
3500 N Rock Rd
BLDG. 1200
Wichita, KS 67226-1334
Phone
(316) 636-2226
Fax
(316) 636-2333
NPI assigned
Aug 31, 2006
Last updated
Dec 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-04414 KS Primary

Addresses

Primary practice location

3500 N Rock Rd
BLDG. 1200
Wichita, KS 67226-1334

Mailing address

3500 N. Rock Rd
BLDG. 1200
Wichita, KS 67226-1334
Phone (316) 636-2226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111108000194 KS Practitioner - Chiropractic 5890976724 Reassigns benefits to 1 organization

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)

3500 N Rock Rd
BLDG 1200
Wichita, KS 67226-1334
Phone (316) 636-2226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-04414KSMDChiropractor

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1053422584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N. ROCK RD",
            "address_2": "BLDG. 1200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261334",
            "telephone_number": "316-636-2226",
            "fax_number": "316-636-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N ROCK RD",
            "address_2": "BLDG. 1200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261334",
            "telephone_number": "316-636-2226",
            "fax_number": "316-636-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWIENER",
        "first_name": "KEVIN",
        "middle_name": "DWAYNE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.