Timothy W. Dewitt, D,C., J.D.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5199 Issued in KS

Practice address

9535 State Ave
Kansas City, KS 66111-1815

Phone

(913) 299-0911

NPI assigned

Feb 26, 2007

Sex

Male

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

Other names 1

• Timothy Wade Dzedulevicz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1952437436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661111815",
            "telephone_number": "913-299-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661111815",
            "telephone_number": "913-299-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "TIMOTHY",
        "middle_name": "W.",
        "credential": "D,C., J.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "5199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "55371",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "DZEDULEVICZ",
            "middle_name": "WADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Deutschmann
• Aditya Krishna Devarakonda, MD
• Michelle Deves
• Robert P Devine, MD
• Brooklyn Devries, MD
• Neesha Bankim Dhanak, D.O.
• Dili Dhanani, M.D.
• Gurpreet Dhanda, M.D.
• Karen Dhanens, MD
• Anand Dharia

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.