Individual provider Active NPI

Timothy James Hackler, DC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1093987398
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105186 Issued in KS
Practice address
10425 Marty St
Suite 100
Overland Park, KS 66212-2569
Phone
(913) 383-3046
Fax
(913) 383-3041
NPI assigned
Mar 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0105186 KS Primary

Addresses

Primary practice location

10425 Marty St
Suite 100
Overland Park, KS 66212-2569

Mailing address

10425 Marty St
Suite 100
Overland Park, KS 66212-2569
Phone (913) 383-3046

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080531000028 KS Practitioner - Chiropractic 6608946769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10425 Marty St
Overland Park, KS 66212-2676
Phone (913) 383-3046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0105186KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hackler Chiropractic PA Chiropractor CurrentSince Feb 28, 2008 Accepting new patients

Locations

10425 Marty St
Ste 100
Overland Park, KS 66212
Phone (913) 383-3031

Organizations & group practices 1

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": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1093987398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 MARTY ST",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122569",
            "telephone_number": "913-383-3046",
            "fax_number": "913-383-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 MARTY ST",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122569",
            "telephone_number": "913-383-3046",
            "fax_number": "913-383-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKLER",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105186",
            "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 Mar 26, 2008; 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.