Charles a. Wickware Et Al PTR

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHARLES A. WICKWARE ET AL PTR

Doing business as

Home Chiropractic Clinic

Practice address

144 Fairway Dr
Suite D
Kerrville, TX 78028-6455

Phone

(830) 792-4663

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Allen Wickware, D.C.NPI 1548344765

Title

Owner

Phone

(830) 792-4663

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Charles Allen Wickware, D.C.

  • Chiropractor
  • Kerrville, TX
  • NPI 1548344765
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1073726956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 FAIRWAY DR",
            "address_2": "SUITE D",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286455",
            "telephone_number": "830-792-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 FAIRWAY DR",
            "address_2": "SUITE D",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286455",
            "telephone_number": "830-792-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A. WICKWARE ET AL PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "WICKWARE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-792-4663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CS7172",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Center for Prosthetics & Orthotics PLLC
• Cheryl Chambers, RADIOLOGIST
• Katie Chambless
• Jon Eric Chancellor, MD
• Chapters Counseling Co., PLLC
• Charles E Lewis MD PA
• Charles J Ballay II, MD, PA
• Barbara Lynn Charles
• Valerie Daniels Chatham, M.D.
• Joni Lynne Chavez-Martell, LPC

• Chiropractor in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.