Active NPI
Nicholas Michael Wittman, D.C.
- Chiropractor
- Kirkwood, MO
National Provider Identifier
1891059549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2012014148
- Practice address
- 1001 S Kirkwood Rd
Suite 160
Kirkwood, MO 63122-7254 - Phone
- (314) 966-6393
- NPI assigned
- Jun 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2012014148 | MO | Primary |
Addresses
Primary practice location
1001 S Kirkwood Rd
Suite 160
Kirkwood, MO 63122-7254
Mailing address
1001 S Kirkwood Rd
Suite 160
Kirkwood, MO 63122-7254
Phone (314) 966-6393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012014148 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wittman Chriopractic Group | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1891059549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S KIRKWOOD RD",
"address_2": "SUITE 160",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631227254",
"telephone_number": "314-966-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S KIRKWOOD RD",
"address_2": "SUITE 160",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631227254",
"telephone_number": "314-966-6393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTMAN",
"first_name": "NICHOLAS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2012014148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.