Daphne Ann Wickham, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104755 Issued in KS

Practice address

13424 Santa Fe Trail Drive
Lenexa, KS 66215

Phone

(913) 438-1115

Fax

(913) 438-3356

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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.

• Wickham Chiropractic PA

  • Chiropractor
  • Lenexa, KS
  • NPI 1972368843
  NPD Authorized official

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1932264702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13424 SANTA FE TRAIL DRIVE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-438-1115",
            "fax_number": "913-438-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13424 SANTA FE TRAIL DRIVE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-438-1115",
            "fax_number": "913-438-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKHAM",
        "first_name": "DAPHNE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31318011",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annice Davis White, MS
• Brett P White
• Whole and Active Living LLC
• Wickham Chiropractic PA
• Daniel Wickham, LSCSW
• Jena Wiens
• Kess Adair Wieser
• Sarah Wilcox
• Elizabeth Willens, DNP, APRN, PMHNP
• Angela D. Williams

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.