Paul J. Willert Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4601 Issued in KS

Legal business name

PAUL J. WILLERT CHIROPRACTIC LLC

Practice address

813 W Douglas Ave
Wichita, KS 67213-4704

Phone

(316) 440-4052

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Paul Jerald Willert, D.C.NPI 1588776553

Title

Owner

Phone

(316) 990-0143

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 2

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

• Paul J Willert, D.C.

  • Chiropractor
  • Wichita, KS
  • NPI 1588776553
  Medicare reassignment Authorized official
• Jeremy D Bender, D.C.

  • Chiropractor
  • Wichita, KS
  • NPI 1720173941
  NPD

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1083157002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 W DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672134704",
            "telephone_number": "316-440-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 W DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672134704",
            "telephone_number": "316-440-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J. WILLERT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "WILLERT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-990-0143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Patton
• Simon Patrick Patton, M.D.
• Trever L Patton, PHD
• Elizabeth Patty
• Kathryn Patyk, D.C.
• Paul L. Kurtzweil, PH.D. LLC
• Britni Ann Paul
• Natasha Paul
• Pauline Paul
• Vincent James Paul, M.D.

• Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.