Individual provider Active NPI

Tina Kay Witkowski-Kirkpatrick, D.C.

  • Chiropractor
  • Cleburne, TX
National Provider Identifier
1629160288
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8389 Issued in TX
Practice address
506 N Ridgeway Suite B
Cleburne, TX 76033
Phone
(817) 774-2225
Fax
(817) 556-9999
NPI assigned
Sep 29, 2006
Last updated
May 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8389 TX Primary

Addresses

Primary practice location

506 N Ridgeway Suite B
Cleburne, TX 76033

Mailing address

506 N Ridgeway Suite B
Cleburne, TX 76033
Phone (817) 774-2225

Other names 1

  • Miss Tina Kay Witkowski Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708000746 TX Practitioner - Chiropractic 3971581802 Practice locations: Cleburne, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

506 N Ridgeway Dr
Suite B
Cleburne, TX 76033-5157

506 N Ridgeway Dr B
Witkowski Chiropractic
Cleburne, TX 76033-5157
Phone (817) 774-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8389TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1629160288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N RIDGEWAY SUITE B",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "76033",
            "telephone_number": "817-774-2225",
            "fax_number": "817-556-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N RIDGEWAY SUITE B",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "76033",
            "telephone_number": "817-774-2225",
            "fax_number": "817-556-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKOWSKI-KIRKPATRICK",
        "first_name": "TINA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "WITKOWSKI",
            "middle_name": "KAY",
            "prefix": "MISS",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.