Organization Active NPI

Engelken Chiropractic

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1487963138
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05340 Issued in KS
Legal business name
ENGELKEN CHIROPRACTIC
Practice address
2730 N Amidon Ave
Suite a
Wichita, KS 67204-4952
Phone
(316) 440-6888
Fax
(316) 440-6288
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Dr. Dave L Engelken, DC
Title
Owner/President/Chiropractor
Phone
(316) 440-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-05340 KS Primary

Addresses

Primary practice location

2730 N Amidon Ave
Suite a
Wichita, KS 67204-4952

Mailing address

2730 N Amidon Ave
Suite a
Wichita, KS 67204-4952
Phone (316) 440-6888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101103000473 KS Part B Supplier - Clinic/Group Practice 8820282841 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

2621 N Greenwich Rd
Ste 500
Wichita, KS 67226
Phone (316) 440-6888

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": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1487963138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 N AMIDON AVE",
            "address_2": "SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672044952",
            "telephone_number": "316-440-6888",
            "fax_number": "316-440-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 N AMIDON AVE",
            "address_2": "SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672044952",
            "telephone_number": "316-440-6888",
            "fax_number": "316-440-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGELKEN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "ENGELKEN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "316-440-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05340",
            "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 Oct 4, 2010; 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.