Individual provider Active NPI

Rourk Thomas Weaver, D.C.

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1073884078
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2012000070 Issued in MO
Practice address
13605 W Maple St
Suite 105
Wichita, KS 67235-8759
Phone
(316) 721-2220
Fax
(316) 721-2226
NPI assigned
Jan 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2012000070 MO Primary
Chiropractor 111N00000X 01-05557 KS

Addresses

Primary practice location

13605 W Maple St
Suite 105
Wichita, KS 67235-8759

Mailing address

13605 W Maple St
Suite 105
Wichita, KS 67235-8759
Phone (316) 721-2220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130903000359 KS Practitioner - Chiropractic 2062671969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13605 W Maple St
Suite 105
Wichita, KS 67235-8753
Phone (316) 721-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05557KSMDChiropractor
2012000070MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Hills Chiropractic and Rehabilitation LLC CurrentSince Jul 10, 2013 Accepting new patients
Auburn Hills Chiropractic, Inc. Chiropractor PastSince Jul 10, 2013 Accepting new patients
Charles a Maurer DC PC Chiropractor PastSince Apr 18, 2018 Accepting new patients

Locations

13605 W Maple St
Ste 105
Wichita, KS 67235
Phone (316) 721-2220

Organizations & group practices 3

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": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1073884078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13605 W MAPLE ST",
            "address_2": "SUITE 105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672358759",
            "telephone_number": "316-721-2220",
            "fax_number": "316-721-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13605 W MAPLE ST",
            "address_2": "SUITE 105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672358759",
            "telephone_number": "316-721-2220",
            "fax_number": "316-721-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ROURK",
        "middle_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-23",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012000070",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05557",
            "primary": false
        }
    ],
    "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 Jul 10, 2013; 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.