NPIMap

Organization Active NPI

Wellness Industries P.a.

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1962644203
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05251 Issued in KS
Legal business name
WELLNESS INDUSTRIES P.A.
Practice address
6224 Shadybrook St
Wichita, KS 67208-1844
Phone
(785) 493-2819
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Dr. Tate Hancock, D.C.
Title
Owner
Phone
(785) 493-2819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-05251 KS Primary

Addresses

Primary practice location

6224 Shadybrook St
Wichita, KS 67208-1844

Mailing address

6224 Shadybrook St
Wichita, KS 67208-1844
Phone (785) 493-2819

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1962644203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 SHADYBROOK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081844",
            "telephone_number": "785-493-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 SHADYBROOK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081844",
            "telephone_number": "785-493-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS INDUSTRIES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "TATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-493-2819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.