Individual provider Active NPI

Blake Anthony Wasinger, D.C.

  • Chiropractor
  • Garden City, KS
National Provider Identifier
1578861993
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05352 Issued in KS
Practice address
1811 E Mary St
Ste A1
Garden City, KS 67846-3880
Phone
(214) 300-1177
NPI assigned
Mar 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05352 KS Primary

Addresses

Primary practice location

1811 E Mary St
Ste A1
Garden City, KS 67846-3880

Mailing address

1811 E Mary St
Ste A1
Garden City, KS 67846-3880
Phone (214) 300-1177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000613 KS Practitioner - Chiropractic 6204013790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1811 E Mary St
Suite A1
Garden City, KS 67846-3881
Phone (620) 275-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05352KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wasinger Chiropractic & Acupuncture, LLC CurrentSince Mar 1, 2011 Accepting new patients

Locations

1811 E Mary St
Ste A1
Garden City, KS 67846
Phone (214) 300-1177

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.

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1578861993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 E MARY ST",
            "address_2": "STE A1",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463880",
            "telephone_number": "214-300-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 E MARY ST",
            "address_2": "STE A1",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678463880",
            "telephone_number": "214-300-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASINGER",
        "first_name": "BLAKE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.