Active NPI
Chris A Van Wyk, D.C.
- Chiropractor
- Littleton, CO
National Provider Identifier
1508931403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1123
- Practice address
- 7231 S Broadway
Littleton, CO 80122-8008 - Phone
- (303) 794-8754
- Fax
- (303) 797-7262
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 1123 | CO | Primary |
Addresses
Primary practice location
7231 S Broadway
Littleton, CO 80122-8008
Mailing address
5540 Horseshoe Trail
P.O. Box 842
Sedalia, CO 80135
Phone (303) 795-3040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350040737 | Other | CO | RAILROAD MEDICARE |
| VA12783 | Other | CO | ANTHEM BCBS |
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 |
|---|---|---|---|
| 1123 | CO | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trevor Van Wyk DC PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Littleton, CO
- NPI 1639348386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229385600000",
"number": "1508931403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5540 HORSESHOE TRAIL",
"address_2": "P.O. BOX 842",
"city": "SEDALIA",
"state": "CO",
"postal_code": "80135",
"telephone_number": "303-795-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7231 S BROADWAY",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801228008",
"telephone_number": "303-794-8754",
"fax_number": "303-797-7262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN WYK",
"first_name": "CHRIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2008-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "1123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350040737",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "VA12783",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.