Individual provider Active NPI

Katlyn Tabor, DC

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1972360592
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06315 Issued in KS
Practice address
11444 E Central Ave Ste 202
Wichita, KS 67206-2805
Phone
(316) 241-9450
Fax
(316) 330-3892
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06315 KS Primary

Addresses

Primary practice location

11444 E Central Ave Ste 202
Wichita, KS 67206-2805

Mailing address

111 S County Rd
Holyrood, KS 67450-9622
Phone (620) 789-0126

Other practice location 1

519 Prairie Ln
Ellsworth, KS 67439-1504
Phone (178) 547-2262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423003031 KS Practitioner - Chiropractic 3870932809 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tabor Sports & Wellness Chiropractic LLC Chiropractor CurrentSince Oct 14, 2024 Accepting new patients
Stanley Chiropractic LLC Chiropractor PastSince Mar 1, 2025 Accepting new patients

Locations

11444 E Central Ave
Ste 202
Wichita, KS 67206
Phone (316) 241-9450

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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1972360592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S COUNTY RD",
            "city": "HOLYROOD",
            "state": "KS",
            "postal_code": "674509622",
            "telephone_number": "620-789-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11444 E CENTRAL AVE STE 202",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062805",
            "telephone_number": "316-241-9450",
            "fax_number": "316-330-3892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 Prairie Ln",
            "address_purpose": "LOCATION",
            "city": "Ellsworth",
            "state": "KS",
            "postal_code": "674391504",
            "country_code": "US",
            "telephone_number": "178-547-2262",
            "fax_number": "785-472-2625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOR",
        "first_name": "KATLYN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06315",
            "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 May 26, 2025; 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.