NPIMap

Individual provider Active NPI

Timothy Dale Warren, D.C.

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1386732337
Registry record updated Mar 25, 2021
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(1) exclusion effective Mar 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04242 Issued in KS
Practice address
1415 W 31St St S
Wichita, KS 67217-2536
Phone
(316) 529-3700
Fax
(316) 529-0200
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X
Chiropractor 111N00000X 01-04242 KS Primary

Addresses

Primary practice location

1415 W 31St St S
Wichita, KS 67217-2536

Mailing address

1415 W 31St St S
Wichita, KS 67217-2536
Phone (316) 529-3700

Other identifiers 1

IdentifierTypeStateIssuer
59941OtherKSBLUE CROSS BLUE SHIELD

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
01-04242KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Health Solutions, LLC Current Accepting new patients
Keller Healing & Physical Medicine, P.a. PastSince Sep 28, 2017 Accepting new patients
Titan Durable Medical Supply, LLC PastSince May 28, 2019 Accepting new patients
True Health PA Chiropractor PastSince May 23, 2016 Accepting new patients
Catalyst Health Center, PA Chiropractor PastSince Mar 1, 2015 Accepting new patients
Munderloh Medical LLC Neurology PastSince Apr 15, 2016 Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1386732337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W 31ST ST S",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672172536",
            "telephone_number": "316-529-3700",
            "fax_number": "316-529-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W 31ST ST S",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672172536",
            "telephone_number": "316-529-3700",
            "fax_number": "316-529-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "TIMOTHY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "59941",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.