Individual provider Active NPI

Christian Wiltse, DC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1124602644
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06125 Issued in KS
Practice address
9120 Metcalf Ave
Overland Park, KS 66212-1508
Phone
(913) 257-5627
NPI assigned
May 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06125 KS Primary

Addresses

Primary practice location

9120 Metcalf Ave
Overland Park, KS 66212-1508

Mailing address

22120 Midland Dr Ste 1
Shawnee, KS 66226-3554
Phone (913) 745-4064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919003760 KS Practitioner - Chiropractic 3072977305 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-06125KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Muscle & Joint Clinic LLC Rehabilitation CurrentSince Sep 1, 2023 Accepting new patients
Fit Muscle & Joint Clinic LLC Rehabilitation CurrentSince Sep 1, 2023 Accepting new patients

Locations

9250 State Ave
Kansas City, KS 66112
Phone (816) 763-1419

2113 E Kansas City Rd
Olathe, KS 66061
Phone (913) 745-4064

11340 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 354-5020

15040 Newton Dr
Overland Park, KS 66223
Phone (913) 808-5245

9120 Metcalf Ave
Overland Park, KS 66212
Phone (913) 254-5627

505 S Hospital Dr
Paola, KS 66071
Phone (913) 232-9846

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1124602644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22120 MIDLAND DR STE 1",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263554",
            "telephone_number": "913-745-4064",
            "fax_number": "913-745-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121508",
            "telephone_number": "913-257-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTSE",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.