Individual provider Active NPI

Timothy Wayne West, D.C.

  • Chiropractor
  • Oneida, TN
National Provider Identifier
1083650337
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-001057 Issued in TN
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

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
85620037MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
4870KYMDChiropractor
DC-001057TNMDChiropractor
1966NCMDPhysical 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.

Verify at the official NPI Registry.