Organization Active NPI

Wichita Chiropractic Clinic

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1972948149
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105475 Issued in KS
Legal business name
WICHITA CHIROPRACTIC CLINIC
Practice address
1999 N Amidon Ave Ste 224
Wichita, KS 67203-2123
Phone
(316) 838-8883
Fax
(316) 838-8884
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Dr. Juan Martinez Jr., D.C.
Title
Doctor of Chiropractic
Phone
(316) 838-8883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0105475 KS Primary

Addresses

Primary practice location

1999 N Amidon Ave Ste 224
Wichita, KS 67203-2123

Mailing address

1999 N Amidon Ave Ste 224
Wichita, KS 67203-2123
Phone (316) 838-8883

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1972948149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 N AMIDON AVE STE 224",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032123",
            "telephone_number": "316-838-8883",
            "fax_number": "316-838-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 N AMIDON AVE STE 224",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032123",
            "telephone_number": "316-838-8883",
            "fax_number": "316-838-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "316-838-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105475",
            "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 1, 2013; 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.