Individual provider Active NPI

Taylor Austin Wilbeck, D.C.

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1679907265
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05572 Issued in KS
Practice address
3743 N Rock Rd Ste 200
Wichita, KS 67226-1386
Phone
(316) 500-8700
Fax
(316) 559-8902
NPI assigned
Aug 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05572 KS Primary

Addresses

Primary practice location

3743 N Rock Rd Ste 200
Wichita, KS 67226-1386

Mailing address

3743 N Rock Rd Ste 200
Wichita, KS 67226-1386
Phone (316) 500-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131105000097 KS Practitioner - Chiropractic 3476788100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Associates LLCGroup PAC ID 3678702008, 3 clinicians
Wellness Associates One LLCGroup PAC ID 4789917964, 2 clinicians

Practice addresses (Care Compare)

3743 N Rock Rd
Suite 200
Wichita, KS 67226-1386
Phone (316) 500-8700

5800 W Central Ave
Wichita, KS 67212-2840
Phone (316) 946-0606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05572KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Associates L.L.C. Chiropractor CurrentSince Oct 24, 2013 Accepting new patients
Wellness Associates One LLC Chiropractor CurrentSince Feb 13, 2019 Accepting new patients

Locations

3743 N Rock Rd
Ste 200
Wichita, KS 67226
Phone (316) 500-8700

5800 W Central Ave
Wichita, KS 67212
Phone (316) 295-3730

Organizations & group practices 2

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": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1679907265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3743 N ROCK RD STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261386",
            "telephone_number": "316-500-8700",
            "fax_number": "316-559-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 N ROCK RD STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261386",
            "telephone_number": "316-500-8700",
            "fax_number": "316-559-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBECK",
        "first_name": "TAYLOR",
        "middle_name": "AUSTIN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-30",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05572",
            "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 Sep 14, 2022; 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.