Mark Charles Childress, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4944 Issued in KS

Practice address

11960 W 119TH St
Overland Park, KS 66213-2216

Phone

(913) 744-2973

Fax

(913) 245-9259

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spinal Care Center, Inc

  • Chiropractor
  • Overland Park, KS
  • NPI 1215139621
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083726632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15283 W 147TH DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625002",
            "telephone_number": "913-744-2973",
            "fax_number": "913-345-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132216",
            "telephone_number": "913-744-2973",
            "fax_number": "913-245-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDRESS",
        "first_name": "MARK",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4944",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006012360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children's Mercy-Pediatric Care Specialist
• Children's Physical Therapy Associates
• Children's Physical Therapy Associates
• Children's Therapy Services Inc
• Childrens Therapy Group Inc
• Kathryn K Childs, CCC-SLP
• Stacia G Childs, MS, CCC-SLP
• Ilana Chilton, MS CGC
• Kristine Ching
• Paul Allen Chinn, PH.D.

• Chiropractor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.