Active NPI
Dennis M Gillenwater, D.C.
- Chiropractor
- Wichita, KS
National Provider Identifier
1447246939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- C3618
- Practice address
- 2909 W 13TH St N
Wichita, KS 67203-6618 - Phone
- (316) 943-3251
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | C3618 | KS | Primary |
Addresses
Primary practice location
2909 W 13TH St N
Wichita, KS 67203-6618
Mailing address
2909 W 13TH St N
Wichita, KS 67203-6618
Phone (316) 943-3251
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
| License | State | Type | Specialty |
|---|---|---|---|
| C3618 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1447246939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 W 13TH ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672036618",
"telephone_number": "316-943-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 W 13TH ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672036618",
"telephone_number": "316-943-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLENWATER",
"first_name": "DENNIS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "C3618",
"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 Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.