Organization Active NPI

Northrock Chiropractic Clinic Inc.

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1831200393
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NORTHROCK CHIROPRACTIC CLINIC INC.
Practice address
3500 N. Rock Road
BLDG. 1200
Wichita, KS 67226-1334
Phone
(316) 636-2226
Fax
(316) 636-2333
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Kevin Dwayne Zwiener, D.C.NPI 1053422584
Title
Owner
Phone
(316) 636-2226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3500 N. Rock Road
BLDG. 1200
Wichita, KS 67226-1334

Mailing address

3500 N. Rock Road
BLDG. 1200
Wichita, KS 67226-1334
Phone (316) 636-2226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110224000428 KS Part B Supplier - Clinic/Group Practice 8628259553 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2075956Northrock Chiropractic Clinic Inc3500 North Rock Road BLDG 1200, Wichita, KS 67226Certificate of waiverApr 7, 2028

National Provider Directory

National Provider Directory

Locations

3500 N Rock Rd
Bldg 1200
Wichita, KS 67226
Phone (316) 636-2226

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1831200393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N. ROCK ROAD",
            "address_2": "BLDG. 1200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261334",
            "telephone_number": "316-636-2226",
            "fax_number": "316-636-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N. ROCK ROAD",
            "address_2": "BLDG. 1200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261334",
            "telephone_number": "316-636-2226",
            "fax_number": "316-636-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHROCK CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "ZWIENER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-636-2226",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "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 Dec 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.

Verify at the official NPI Registry.