Active NPI
Andrew Jon Roy, D.C.
- Chiropractor
- Wichita, KS
National Provider Identifier
1225093164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-04547
- Practice address
- 2020 N Tyler Rd
Suite 112
Wichita, KS 67212-4905 - Phone
- (316) 942-5335
- Fax
- (316) 942-5442
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-04547 | KS | Primary |
Addresses
Primary practice location
2020 N Tyler Rd
Suite 112
Wichita, KS 67212-4905
Mailing address
2020 N Tyler Rd
Suite 112
Wichita, KS 67212-4905
Phone (316) 942-5335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-04547 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1225093164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 N TYLER RD",
"address_2": "SUITE 112",
"city": "WICHITA",
"state": "KS",
"postal_code": "672124905",
"telephone_number": "316-942-5335",
"fax_number": "316-942-5442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 N TYLER RD",
"address_2": "SUITE 112",
"city": "WICHITA",
"state": "KS",
"postal_code": "672124905",
"telephone_number": "316-942-5335",
"fax_number": "316-942-5442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "ANDREW",
"middle_name": "JON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.