Active NPI
Chris A Wilson, DC
- Chiropractor
- Winfield, KS
National Provider Identifier
1194725283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4665
- Practice address
- 805 Main St
Winfield, KS 67156-2834 - Phone
- (620) 221-4449
- Fax
- (620) 221-4390
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4665 | KS | Primary |
| Chiropractor | 111N00000X | 3546 | OK |
Addresses
Primary practice location
805 Main St
Winfield, KS 67156-2834
Mailing address
805 Main St
Winfield, KS 67156-2834
Phone (620) 221-4449
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060451 | Other | BLUE CROSS/BLUE SHIELD | |
| 350050266 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040610001612 | KS | Practitioner - Chiropractic | 6204819170 | Practice locations: Winfield, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
805 Main St
Winfield, KS 67156-2834
Phone (620) 221-4449
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3546 | OK | MD | Chiropractor |
| 4665 | KS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1194725283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MAIN ST",
"city": "WINFIELD",
"state": "KS",
"postal_code": "671562834",
"telephone_number": "620-221-4449",
"fax_number": "620-221-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 MAIN ST",
"city": "WINFIELD",
"state": "KS",
"postal_code": "671562834",
"telephone_number": "620-221-4449",
"fax_number": "620-221-4390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CHRIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "4665",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3546",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "060451",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "350050266",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Winfield, KS
- William Newton Memorial Hospital
- William Newton Memorial Hospital
- William Newton Memorial Hospital
- William Newton Memorial Hospital
- Ashley Renee Wilson, LMSW
- James Kent Winblad, M.D.
- John Mark Winblad, M.D.
- Winfield Area Emergency Medical Services
- Winfield Chiropractic & Rehabilitation Center, LLC
- Winfield Chiropractic Relief and Wellness, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.