Individual provider Active NPI

Taylor Walter, DC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1972125722
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06045 Issued in KS
Practice address
7439 W 161St St
Overland Park, KS 66085-8854
Phone
(913) 681-9355
Fax
(913) 681-1334
NPI assigned
May 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06045 KS Primary

Addresses

Primary practice location

7439 W 161St St
Overland Park, KS 66085-8854

Mailing address

5507 W 153Rd Ter
Overland Park, KS 66223-3617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019002683 KS Practitioner - Chiropractic 0042630204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7439 W 161St St
Overland Park, KS 66085-8854
Phone (913) 681-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-06045KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Walter Chiropractic & Wellness LLC Chiropractor CurrentSince Aug 19, 2020 Accepting new patients
Living Well Chiropractic, Inc. Chiropractor PastSince May 1, 2020 Accepting new patients

Locations

7439 W 161st St
Stilwell, KS 66085
Phone (913) 681-9355

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1972125722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 W 153RD TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7439 W 161ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "660858854",
            "telephone_number": "913-681-9355",
            "fax_number": "913-681-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "TAYLOR",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.