Garrett Leo Wilder, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-06192 Issued in KS

Practice address

11709 College Blvd
Overland Park, KS 66210-1398

Phone

(913) 228-0123

NPI assigned

May 25, 2022

Last updated

May 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Chiropractic House LLC

  • Chiropractor
  • Overland Park, KS
  • NPI 1275251423
  NPD

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1316685670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 W 231ST ST",
            "city": "BUCYRUS",
            "state": "KS",
            "postal_code": "660139262",
            "telephone_number": "913-850-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101398",
            "telephone_number": "913-228-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "GARRETT",
        "middle_name": "LEO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Eilzabeth Wilcher
• Samuel James Wilcox, PA-C
• Donald B. Wilcoxon, D.D.S., M.S.
• Wild & Well Chiropractic LLC
• Mandy L Wilde-Price, MA, LCPC
• Sara Wile, MA, NCC, LPC
• Valerie Lynn Wilen, CRNA
• Ashley Rae Wiles, MSN, FNP-C
• Mallory Wilhite, OTR/L
• Sandra Wilkes, L.AC.

• Chiropractor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.