Individual provider Active NPI

Joshua Lee Altwine, D.C.

  • Chiropractor
  • Derby, KS
National Provider Identifier
1336320647
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105297 Issued in KS
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

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1486NEMDClinical Social Worker
0105297KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Creekwood Chiropractic Clinic P.C. Chiropractor PastSince Sep 22, 2014 Accepting new patients
Spier Physical Therapy Inc Past Accepting new patients
Innatus PC Chiropractor PastSince Feb 1, 2017 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.

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.

Verify at the official NPI Registry.