Active NPI
Joshua Lee Altwine, D.C.
- Chiropractor
- Derby, KS
National Provider Identifier
1336320647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0105297
- Practice address
- 1001 N Buckner St
Derby, KS 67037-1824 - Phone
- (316) 788-7500
- Fax
- (316) 788-7702
- NPI assigned
- Nov 15, 2007
- 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 | 0105297 | KS | Primary |
Addresses
Primary practice location
1001 N Buckner St
Derby, KS 67037-1824
Mailing address
1001 N Buckner St
Derby, KS 67037-1824
Phone (316) 788-7500
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 |
|---|---|---|---|
| 1486 | NE | MD | Clinical Social Worker |
| 0105297 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creekwood Chiropractic Clinic P.C. | Chiropractor | Past | Accepting new patients |
| Spier Physical Therapy Inc | Past | Accepting new patients | |
| Innatus PC | Chiropractor | Past | Accepting new patients |
| Jnac Limited | Chiropractor | Past | Accepting new patients |
| Premier Eye Care and Contact Lens Services, PC | Past | Accepting new patients |
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1336320647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N BUCKNER ST",
"city": "DERBY",
"state": "KS",
"postal_code": "670371824",
"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": "1001 N BUCKNER ST",
"city": "DERBY",
"state": "KS",
"postal_code": "670371824",
"telephone_number": "316-788-7500",
"fax_number": "316-788-7702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTWINE",
"first_name": "JOSHUA",
"middle_name": "LEE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "0105297",
"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 Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.