DR. WESLEY SCOTT DETRICK (NPI# 1861558017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861558017 |
| Entity Type | Individual |
| Full Name | DR. WESLEY SCOTT DETRICK |
| Credential | D.C. |
| Practice Address |
3040 S Seneca St Suite #4 Wichita KS 67217-3246 |
| Practice Telephone | 3165226702 |
| Practice Fax Number | 3165227790 |
| Mailing Telephone | 3165226702 |
| Mailing Fax Number | 3165227790 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 01-05112 | KS | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 3766 | OK | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 2005032885 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | ACN PROVIDER ID | 694221 | 01 |
| Street Address |
3040 S SENECA ST SUITE #4 |
| City | WICHITA |
| State | KS |
| Zip Code | 67217-3246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043396815 | Dorwin H Graham | Optometrist | 3040 S Seneca St, Suite 2, Wichita, KS 67217-3246 | 2006-10-27 |
| 1275908527 | Hector Rios Optometry LLC | Optometrist | 3040 S Seneca St, Suite 2, Wichita, KS 67217-3246 | 2015-12-10 |
| 1871779520 | Hector Rios Optometry | Durable Medical Equipment & Medical Supplies | 3040 S Seneca St, Suite 2, Wichita, KS 67217-3246 | 2008-01-11 |
| 1689898322 | Rios, Mason, & Associates, LLC | Durable Medical Equipment & Medical Supplies | 3040 S Seneca St, Ste 2, Wichita, KS 67217-3246 | 2007-04-12 |
| 1114090115 | Kirby Chiropractic LLC | Chiropractor | 3040 S Seneca St, Ste 4, Wichita, KS 67217-3246 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922383736 | Patti Jean Rogers | Pharmacist | 3150 S Seneca, Wichita, KS 67217 | 2011-10-13 |
| 1447275573 | Richard L Dopps | Chiropractor | 1001 W 47th St S, Wichita, KS 67217 | 2006-07-12 |
| 1093755811 | Dillon Companies LLC | Pharmacy | 3211 S Seneca St, Wichita, KS 67217 | 2006-06-08 |
| 1235191917 | Robert Charles Beaver | Dentist | 2860 S Seneca, Suite A, Wichita, KS 67217 | 2006-04-06 |
| 1134182686 | Twietmeyer Dentistry Pa | Dentist | 3920 W 31st St S, Wichita, KS 67217-1112 | 2006-04-07 |
| 1053763714 | Charles Twietmeyer | Dentist | 3920 W 31st St S, Wichita, KS 67217-1112 | 2016-07-06 |
| 1306047634 | Kate E Rohr | Dentist | 3920 W 31st St S, Wichita, KS 67217-1112 | 2007-05-31 |
| 1568748903 | Michael Shirkey | Marriage & Family Therapist | 1903 W Anita Ave, Wichita, KS 67217-1801 | 2011-10-31 |
| 1558542035 | David M. Guerrero | Dentist | 3027 S Hiram Ave, Wichita, KS 67217-1938 | 2007-11-26 |
| 1285922658 | Kimberley R. Jones | Social Worker | 3450 S Bonn Ave, Wichita, KS 67217-2136 | 2011-07-19 |
| Find all providers in zip 67217 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652544 | Savannah Howell | Chiropractor | 2755 N Maize Rd Ste 107, Wichita, KS 67205-7327 | 2019-07-31 |
| 1508418914 | Ryan Grenier | Chiropractor | 3017 N Cypress St Ste B, Wichita, KS 67226-4026 | 2019-07-15 |
| 1316503691 | Jessica Ann Marie Gault | Chiropractor | 8641 W 13th St N Ste 107, Wichita, KS 67212-6280 | 2019-05-13 |
| 1972072064 | Boneworkz, LLC | Chiropractor | 211 S Tyler Rd, Wichita, KS 67209-1433 | 2018-11-19 |
| 1396248555 | Anthony Barta | Chiropractor | 8440 E 29th St N Ste 100, Wichita, KS 67226-3407 | 2018-03-14 |
| 1841790649 | Wichita Chiropractic and Physical Therapy Clinic Inc | Chiropractor | 125 S West St Ste 117, Wichita, KS 67213-2114 | 2018-02-19 |
| 1104334325 | Ryan M Simpson | Chiropractor | 8526 W 13th St N Ste 170, Wichita, KS 67212-2990 | 2018-01-22 |
| 1740796218 | Gawith Chiropractic LLC | Chiropractor | 2020 N Webb Rd Ste 102, Wichita, KS 67206-3408 | 2017-12-20 |
| 1326557075 | Stanley Chiropractic LLC | Chiropractor | 555 N Mclean Blvd Ste 302, Wichita, KS 67203-5815 | 2017-09-26 |
| 1932637154 | Dustin R Hague | Chiropractor | 2604 W 9th St N Ste 100, Wichita, KS 67203-4792 | 2017-06-01 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.