Active NPI
Timothy Wayne West, D.C.
- Chiropractor
- Oneida, TN
National Provider Identifier
1083650337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-001057
- Practice address
- 18895 Alberta St
Oneida, TN 37841-6000 - Phone
- (423) 569-2225
- Fax
- (423) 569-2226
- NPI assigned
- Jun 22, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4870 | KY | |
| Chiropractor | 111N00000X | 1966 | NC | |
| Chiropractor | 111N00000X | DC-001057 | TN | Primary |
Addresses
Primary practice location
18895 Alberta St
Oneida, TN 37841-6000
Mailing address
PO Box 4434
Oneida, TN 37841-4434
Phone (423) 569-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85620037 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040730000304 | KY | Practitioner - Chiropractic | 7315917838 | Practice locations: Whitley City, KY |
| I20060131000843 | TN | Practitioner - Chiropractic | 7315917838 | Practice locations: Oneida, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18895 Alberta St
Oneida, TN 37841-6000
Phone (423) 569-2225
242 S Main St
Whitley City, KY 42653-6043
Phone (606) 376-2123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4870 | KY | MD | Chiropractor |
| DC-001057 | TN | MD | Chiropractor |
| 1966 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1083650337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4434",
"city": "ONEIDA",
"state": "TN",
"postal_code": "378414434",
"telephone_number": "423-569-2225",
"fax_number": "423-569-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18895 ALBERTA ST",
"city": "ONEIDA",
"state": "TN",
"postal_code": "378416000",
"telephone_number": "423-569-2225",
"fax_number": "423-569-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "TIMOTHY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2024-03-13",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4870",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1966",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC-001057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85620037",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oneida, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.