Organization Active NPI

Solutions Integrative Medicine and Diagnostic Center,Inc.

  • Chiropractor
  • Winfield, KS
National Provider Identifier
1083931679
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4983 Issued in KS
Legal business name
SOLUTIONS INTEGRATIVE MEDICINE AND DIAGNOSTIC CENTER,INC.
Practice address
800 Main St Ste 207
Winfield, KS 67156-2960
Phone
(620) 229-8117
Fax
(620) 229-8003
NPI assigned
Apr 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Authorized official

Name
Tyson D Detwiler, D.C.
Title
Owner
Phone
(620) 229-8117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4983 KS Primary

Addresses

Primary practice location

800 Main St Ste 207
Winfield, KS 67156-2960

Mailing address

800 Main St Ste 207
Winfield, KS 67156-2960
Phone (620) 229-8117

National Provider Directory

National Provider Directory

Locations

800 Main St
Ste 207
Winfield, KS 67156
Phone (620) 222-2339

NPI Registry JSON

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1083931679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST STE 207",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562960",
            "telephone_number": "620-229-8117",
            "fax_number": "620-229-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST STE 207",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562960",
            "telephone_number": "620-229-8117",
            "fax_number": "620-229-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLUTIONS INTEGRATIVE MEDICINE AND DIAGNOSTIC CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-22",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "DETWILER",
        "authorized_official_first_name": "TYSON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-229-8117",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.