Active NPI
Titan Medical Center LLC
- Physical Medicine & Rehabilitation Physician
- Wichita, KS
National Provider Identifier
1750830527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- TITAN MEDICAL CENTER LLC
- Practice address
- 1415 W 31St St S
Wichita, KS 67217-2536 - Phone
- (316) 529-3700
- Fax
- (316) 529-0200
- NPI assigned
- Sep 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy Warren, D.C.
- Title
- Owner
- Phone
- (316) 882-5353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1415 W 31St St S
Wichita, KS 67217-2536
Mailing address
1401 W 31St St S
Wichita, KS 67217-2500
Phone (316) 529-3700
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2233546 | Titan Medical Center | Certificate of waiver | Aug 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
1415 W 31st St S
Wichita, KS 67217
Phone (316) 529-3700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581897600000",
"number": "1750830527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W 31ST ST S",
"city": "WICHITA",
"state": "KS",
"postal_code": "672172500",
"telephone_number": "316-529-3700",
"fax_number": "316-529-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 W 31ST ST S",
"city": "WICHITA",
"state": "KS",
"postal_code": "672172536",
"telephone_number": "316-529-3700",
"fax_number": "316-529-0200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TITAN MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-22",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "316-882-5353",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"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 Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.