NPIMap

Organization Active NPI

Ewert Chiropractic LLC

  • Chiropractor
  • Derby, KS
National Provider Identifier
1174849202
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05288 Issued in KS
Legal business name
EWERT CHIROPRACTIC LLC
Practice address
620 N Baltimore
Suite B
Derby, KS 67037-1600
Phone
(316) 788-7500
Fax
(316) 788-7702
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Dr. Mindy Diane Ewert, D.C.
Title
President
Phone
(316) 461-2013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-05288 KS Primary

Addresses

Primary practice location

620 N Baltimore
Suite B
Derby, KS 67037-1600

Mailing address

620 N Baltimore
Suite B
Derby, KS 67037-1600
Phone (316) 788-7500

National Provider Directory

National Provider Directory

Locations

9390 E Central Ave
Ste 103
Wichita, KS 67206
Phone (316) 351-7504

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1174849202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N BALTIMORE",
            "address_2": "SUITE B",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670371600",
            "telephone_number": "316-788-7500",
            "fax_number": "316-788-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N BALTIMORE",
            "address_2": "SUITE B",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670371600",
            "telephone_number": "316-788-7500",
            "fax_number": "316-788-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWERT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "EWERT",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-461-2013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.