Wesley Scott Detrick, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05112 Issued in KS

Practice address

3040 S Seneca St
Suite #4
Wichita, KS 67217-3246

Phone

(316) 522-6702

Fax

(316) 522-7790

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Associates LLCGroup PAC ID 3678702008, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellness Associates L.L.C.

  dba Wilbeck Chiropractic

  • Chiropractor
  • Wichita, KS
  • NPI 1992130876
  Medicare reassignment Care Compare group NPD
• Wellness Associates One LLC

  dba Wilbeck Chiropractic

  • Chiropractor
  • Wichita, KS
  • NPI 1295298230
  Medicare reassignment NPD
• Kirby Chiropractic LLC

  • Chiropractor
  • Wichita, KS
  • NPI 1114090115
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1861558017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 S SENECA ST",
            "address_2": "SUITE #4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672173246",
            "telephone_number": "316-522-6702",
            "fax_number": "316-522-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 S SENECA ST",
            "address_2": "SUITE #4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672173246",
            "telephone_number": "316-522-6702",
            "fax_number": "316-522-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETRICK",
        "first_name": "WESLEY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005032885",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3766",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN PROVIDER ID",
            "identifier": "694221",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison N Despard, LSCSW
• Richard A Desplinter, MD
• Cara Lee Detmer, DDS
• Kyle Detmer, DDS
• Margaret Anne Detmer, DDS
• Soonhee P Detwiler
• Jeremy Deutsch, MD
• Suzanne R Devaughn, LMSW
• Heather Devereaux, LMSW
• Victoria Devereaux, LMSW

• Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.