Kenneth Wheelock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH1934 Issued in WA

Practice address

1033 Regents Blvd Ste 203
Fircrest, WA 98466-6091

Phone

(253) 566-6121

Fax

(253) 564-8118

NPI assigned

Jan 24, 2007

Last updated

Sep 30, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Small Family Chiropractic

  • Clinic/Center
  • Fircrest, WA
  • NPI 1568012730
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1083769368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 REGENTS BLVD STE 203",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666091",
            "telephone_number": "253-566-6121",
            "fax_number": "253-564-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 REGENTS BLVD STE 203",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666091",
            "telephone_number": "253-566-6121",
            "fax_number": "253-564-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELOCK",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH1934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "91229",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Warren Wakeland, BA DC
• Jason Wang, C.A., DIPL. AC.
• Gregory T Wellman, DPT
• Darren Wenz, LICSW
• Edward L West, D.C.
• Raymond Wilkinson, DDS
• Tasha Janelle Zimowski, RN MSN CCM
• Shannon D Zook, MPT

• Chiropractor in Fircrest, WA
• Providers in Fircrest, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.