Ict Muscle & Joint Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0105764 Issued in KS

Legal business name

ICT MUSCLE & JOINT CLINIC, LLC

Practice address

7829 E Rockhill St
303
Wichita, KS 67206-3920

Phone

(316) 854-3010

NPI assigned

Dec 28, 2015

Last updated

Dec 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Sparks, D.C.NPI 1649659467

Title

Owner

Phone

(316) 854-3010

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Sparks, DC

  • Chiropractor
  • Wichita, KS
  • NPI 1649659467
  Authorized official Same address or phone

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1417312075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7829 E ROCKHILL ST",
            "address_2": "303",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063920",
            "telephone_number": "316-854-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 E ROCKHILL ST",
            "address_2": "303",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063920",
            "telephone_number": "316-854-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICT MUSCLE & JOINT CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-854-3010",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ict Therapy Works, LLC
• Ict Venture Group, LLC
• Caitlyn Danae Idleman, LMT
• Ignite Chiropractic LLC

• Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.