Brett Martin Dworkis, DC, CCSP

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

4631 Issued in KS

Practice address

708 S Rogers Rd
Suite a
Olathe, KS 66062-1703

Phone

(913) 782-5000

Fax

(913) 782-5005

NPI assigned

Feb 20, 2007

Last updated

Mar 12, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Performance Chiropractic

  • Sports Physician Chiropractor
  • Olathe, KS
  • NPI 1366699407
  NPD (past) Authorized official
• Decker Chiropractic Walk-in-Care, PA

  • Chiropractor
  • Olathe, KS
  • NPI 1265614010
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1881739670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S. ROGERS RD.",
            "address_2": "SUITE A",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66062",
            "telephone_number": "913-782-5000",
            "fax_number": "913-782-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S ROGERS RD",
            "address_2": "SUITE A",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621703",
            "telephone_number": "913-782-5000",
            "fax_number": "913-782-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORKIS",
        "first_name": "BRETT",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DC, CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04631",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "KS",
            "license": "4631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS MEDICARE P10",
            "identifier": "000B324",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "20-0398766",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26604013",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Dulin, DO
• Amanpreet Dulku, PHARMD
• Kirk A Duncan, MD
• Michael J Duncan II, MD
• Dva Renal Healthcare Inc (Olathe Dialysis)
• E-Care Dentistry,P.a
• Geraldine Susan Eakin, L.S.C.S.W. L.C.S.W.
• Doncy J Eapen, APRN
• Caryl Earp, D.D.S.
• Dennis Randall Eaton, PA

• Sports Physician Chiropractor in Olathe, KS
• Providers in Olathe, KS by specialty
• Sports Physician Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.