Active NPI
Wayne Franklin Kirk, DC
- Chiropractor
- Evansville, IN
National Provider Identifier
1720032188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001920A
- Practice address
- 2333 Washington Ave.
Evansville, IN 47714-2349 - Phone
- (812) 477-5201
- Fax
- (812) 477-5293
- NPI assigned
- May 20, 2006
- Last updated
- Aug 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 08001920A | IN | Primary |
Addresses
Primary practice location
2333 Washington Ave.
Evansville, IN 47714-2349
Mailing address
2333 Washington Ave.
Evansville, IN 47714-2349
Phone (812) 477-5201
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200279220A | Medicaid | IN | |
| 350053694 | Other | IN | RAILROAD MEDICARE |
| 000000112035 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110113000123 | IN | Practitioner - Chiropractic | 2062601644 | Practice locations: Evansville, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1222 A Professional Blvd
Evansville, IN 47714-8002
Phone (812) 477-5201
1222 Professional Blvd
Suite a
Evansville, IN 47714-8002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1720032188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 WASHINGTON AVE.",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477142349",
"telephone_number": "812-477-5201",
"fax_number": "812-477-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 WASHINGTON AVE.",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477142349",
"telephone_number": "812-477-5201",
"fax_number": "812-477-5293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "WAYNE",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001920A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200279220A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350053694",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000112035",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.