Individual provider Active NPI

Darek Eugene Funk, D.C.

  • Chiropractor
  • Marysville, KS
National Provider Identifier
1184034514
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105647 Issued in KS
Practice address
1124 Pony Express Hwy
Marysville, KS 66508-8647
Phone
(785) 562-1900
Fax
(785) 562-1902
NPI assigned
May 7, 2014
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2014013456 MO
Chiropractor 111N00000X 0105647 KS Primary

Addresses

Primary practice location

1124 Pony Express Hwy
Marysville, KS 66508-8647

Mailing address

PO Box 501
Marysville, KS 66508-0501
Phone (785) 562-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141010001361 MO Practitioner - Chiropractic 6507086790 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0105647KSMDChiropractor
2014013456MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie Showers DC, LLC Chiropractor CurrentSince Sep 19, 2016 Accepting new patients

Locations

915 Southwest Blvd
Ste H
Jefferson Cty, MO 65109
Phone (573) 635-2225

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1184034514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665080501",
            "telephone_number": "785-562-1900",
            "fax_number": "785-562-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 PONY EXPRESS HWY",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665088647",
            "telephone_number": "785-562-1900",
            "fax_number": "785-562-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "DAREK",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014013456",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.