Individual provider Active NPI

Kimberly Kay Shara, DR OF CHIROPRACTIC

  • Chiropractor
  • Merriam, KS
National Provider Identifier
1275633141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01036645 Issued in KS
Practice address
6220 Antioch
Ste 100
Merriam, KS 66202
Phone
(913) 432-9012
Fax
(913) 432-6354
NPI assigned
Sep 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01036645 KS Primary

Addresses

Primary practice location

6220 Antioch
Ste 100
Merriam, KS 66202

Mailing address

6220 Antioch
Ste 100
Merriam, KS 66202
Phone (913) 432-9012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050718000470 KS Practitioner - Chiropractic 9638105299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6220 Antioch Rd
Suite 100
Merriam, KS 66202-5107
Phone (913) 432-9012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01036645KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly K. Shara, D.C., Inc. Chiropractor CurrentSince Jul 20, 2005 Accepting new patients

Locations

6220 Antioch Rd
Ste 100
Shawnee Msn, KS 66202
Phone (913) 432-9012

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275633141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 ANTIOCH",
            "address_2": "STE 100",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "66202",
            "telephone_number": "913-432-9012",
            "fax_number": "913-432-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 ANTIOCH",
            "address_2": "STE 100",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "66202",
            "telephone_number": "913-432-9012",
            "fax_number": "913-432-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARA",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DR OF CHIROPRACTIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01036645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

  • 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.