Individual provider Active NPI

Sandra Wilkes, L.AC.

  • Acupuncturist
  • Overland Park, KS
National Provider Identifier
1689976508
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
996 Issued in NM
Practice address
6885 W 151St St
Ste 102
Overland Park, KS 66223-2507
Phone
(913) 897-1100
Fax
(913) 897-9696
NPI assigned
Nov 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 996 NM Primary
Acupuncturist 171100000X 2008033993 MO

Addresses

Primary practice location

6885 W 151St St
Ste 102
Overland Park, KS 66223-2507

Mailing address

6885 W 151St St
Ste 102
Overland Park, KS 66223-2507
Phone (913) 897-1100

Other names 1

  • Dr. Sandra Wilkes Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2008033993MOMDAcupuncturist
996NMMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1689976508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 W 151ST ST",
            "address_2": "STE 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232507",
            "telephone_number": "913-897-1100",
            "fax_number": "913-897-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 W 151ST ST",
            "address_2": "STE 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232507",
            "telephone_number": "913-897-1100",
            "fax_number": "913-897-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "SANDRA",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "996",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MO",
            "license": "2008033993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "WILKES",
            "prefix": "DR.",
            "credential": "D.O.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.