Active NPI
Christopher C Spachman, DC
- Chiropractor
- Overland Park, KS
National Provider Identifier
1164530432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-04347
- Practice address
- 4354 W 107TH St
Overland Park, KS 66207-4001 - Phone
- (913) 385-7676
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-04347 | KS | Primary |
Addresses
Primary practice location
4354 W 107TH St
Overland Park, KS 66207-4001
Mailing address
4354 W 107TH St
Overland Park, KS 66207-4001
Phone (913) 385-7676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22798016 | Other | KS | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111221000714 | KS | Practitioner - Chiropractic | 9234305244 | Practice locations: Prairie Village, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5250 W 94TH Ter
Suite 110
Prairie Village, KS 66207-2535
Phone (913) 385-7676
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-04347 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1164530432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4354 W 107TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662074001",
"telephone_number": "913-385-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4354 W 107TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662074001",
"telephone_number": "913-385-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPACHMAN",
"first_name": "CHRISTOPHER",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04347",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "22798016",
"state": "KS"
}
],
"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 Jan 10, 2019; 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.