Kansas Joint & Spine Institute

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

KANSAS JOINT & SPINE INSTITUTE

Practice address

10100 Shannon Woods
Wichita, KS 67226

Phone

(316) 858-1900

Fax

(316) 858-1905

NPI assigned

Feb 8, 2006

Last updated

Nov 14, 2012By 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

Debbie Brock-Baker

Title

Ceo

Phone

(316) 771-4009

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1417920653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 SHANNON WOODS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67226",
            "telephone_number": "316-858-1900",
            "fax_number": "316-858-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 SHANNON WOODS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67226",
            "telephone_number": "316-858-1900",
            "fax_number": "316-858-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS JOINT & SPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "BROCK-BAKER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-771-4009"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100407900A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kansas Homecare Heros LLC
• Kansas Imaging Consultants, PA
• Kansas Inpatient Services, LLC
• Kansas Internal Medicine Specialists LLC
• Kansas Joint & Spine Institute (Kansas Joint and Spine Pain Management Center)
• Kansas Joint & Spine Institute, Chartered
• Kansas Joint & Spine Specialists, LLC
• Kansas Joint & Spine Specialists, LLC
• Kansas Kids Heart Center, PA
• Kansas Long Term Care Physicians, LLC

• Orthopaedic Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Orthopaedic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.