Individual provider Active NPI

Douglas Anthony Swanson, D.C.

  • Chiropractor
  • Winfield, KS
National Provider Identifier
1871731760
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05247 Issued in KS
Practice address
1913 E 19TH Ave
Winfield, KS 67156-5303
Phone
(620) 221-1990
Fax
(620) 221-4523
NPI assigned
Jan 30, 2009
Last updated
Jan 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05247 KS Primary

Addresses

Primary practice location

1913 E 19TH Ave
Winfield, KS 67156-5303

Mailing address

1913 E 19TH Ave
Winfield, KS 67156-5303
Phone (620) 221-1990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090429000134 KS Practitioner - Chiropractic 0840348918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winfield Chiropractic and Rehabilitation Center LLCGroup PAC ID 1153332119, 3 clinicians
Winfield Chiropractic Relief and Wellness, LLCGroup PAC ID 3678009289, 2 clinicians

Practice addresses (Care Compare)

1913 E 19TH Ave
Winfield, KS 67156-5303
Phone (620) 221-1990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05247KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Winfield Chiropractic Relief and Wellness, LLC Chiropractor CurrentSince Jan 1, 2025 Accepting new patients
Winfield Chiropractic & Rehabilitation Center, LLC Chiropractor CurrentSince Apr 20, 2009 Accepting new patients

Locations

1913 E 19th Ave
Winfield, KS 67156
Phone (620) 221-1990

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1871731760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 E 19TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671565303",
            "telephone_number": "620-221-1990",
            "fax_number": "620-221-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 E 19TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671565303",
            "telephone_number": "620-221-1990",
            "fax_number": "620-221-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "DOUGLAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.