NPIMap

Organization Active NPI

Kansas Joint & Spine Institute, Chartered

  • Orthopaedic Surgery Physician
  • Wichita, KS
National Provider Identifier
1497900708
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
11-02260 Issued in KS
Legal business name
KANSAS JOINT & SPINE INSTITUTE, CHARTERED
Practice address
10100 Shannon Woods St
Wichita, KS 67226-4103
Phone
(316) 858-1900
Fax
(316) 858-1905
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
David Schluck
Title
Office Manager
Phone
(316) 858-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X 11-02260 KS Primary

Addresses

Primary practice location

10100 Shannon Woods St
Wichita, KS 67226-4103

Mailing address

10100 Shannon Woods St
Wichita, KS 67226-4103
Phone (316) 858-1900

Other identifiers 1

IdentifierTypeStateIssuer
07241970OtherKSDATE OF BIRTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1497900708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 SHANNON WOODS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264103",
            "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 ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264103",
            "telephone_number": "316-858-1900",
            "fax_number": "316-858-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS JOINT & SPINE INSTITUTE, CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "SCHLUCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-858-1900"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "11-02260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DATE OF BIRTH",
            "identifier": "07241970",
            "state": "KS"
        }
    ],
    "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 Dec 1, 2008; 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.