Organization Active NPI

Tabor Sports & Wellness Chiropractic LLC

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1447041959
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TABOR SPORTS & WELLNESS CHIROPRACTIC LLC
Practice address
11444 E Central Ave Ste 202
Wichita, KS 67206-2805
Phone
(316) 241-9450
Fax
(316) 330-3892
NPI assigned
May 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Dr. Katlyn Tabor, DCNPI 1972360592
Title
Chiropractor/Owner
Phone
(620) 789-0126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

11444 E Central Ave Ste 202
Wichita, KS 67206-2805

Mailing address

11444 E Central Ave Ste 202
Wichita, KS 67206-2805
Phone (316) 241-9450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250710001313 KS Part B Supplier - Clinic/Group Practice 1658885686 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

11444 E Central Ave
Ste 202
Wichita, KS 67206
Phone (316) 241-9450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1447041959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11444 E CENTRAL AVE STE 202",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062805",
            "telephone_number": "316-241-9450",
            "fax_number": "316-330-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11444 E CENTRAL AVE STE 202",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062805",
            "telephone_number": "316-241-9450",
            "fax_number": "316-330-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOR SPORTS & WELLNESS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "KATLYN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "620-789-0126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.