Organization Active NPI

Shin Acupuncture & Chiropractic, P.a.

Doing business as Kansas Acupuncture and Chiropractic Clinic

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1235536988
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05645 Issued in KS
Legal business name
SHIN ACUPUNCTURE & CHIROPRACTIC, P.A.
Doing business as
Kansas Acupuncture and Chiropractic Clinic
Practice address
7050 W 105TH St
Overland Park, KS 66212-1803
Phone
(913) 649-2044
Fax
(913) 649-2064
NPI assigned
Nov 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Dr. Taejeon Shin, D.C., L.AC.NPI 1962757575
Title
Owner/Chiropractor
Phone
(913) 742-2881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 01-05645 KS Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X

Addresses

Primary practice location

7050 W 105TH St
Overland Park, KS 66212-1803

Mailing address

7050 W 105TH St
Overland Park, KS 66212-1803
Phone (913) 649-2044

Other names 1

  • Kansas Acupuncture and Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150224000201 KS Part B Supplier - Clinic/Group Practice 6002132727 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

7050 W 105th St
Overland Park, KS 66212
Phone (913) 649-2044

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1235536988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121803",
            "telephone_number": "913-649-2044",
            "fax_number": "913-649-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121803",
            "telephone_number": "913-649-2044",
            "fax_number": "913-649-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIN ACUPUNCTURE & CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "TAEJEON",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "913-742-2881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05645",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kansas Acupuncture and Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kansas Acupuncture and Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 14, 2026; 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.