Active NPI
Rourk Thomas Weaver, D.C.
- Chiropractor
- Wichita, KS
National Provider Identifier
1073884078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2012000070
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05557 | KS | MD | Chiropractor |
| 2012000070 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Hills Chiropractic and Rehabilitation LLC | Current | Accepting new patients | |
| Auburn Hills Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
| Charles a Maurer DC PC | Chiropractor | Past | 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.
-
- Clinic/Center
- Wichita, KS
- NPI 1063853059
-
- Chiropractor
- Wichita, KS
- NPI 1770682759
-
- Chiropractor
- Springfield, MO
- NPI 1336160092
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.