Mary Katherine Bisaha Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

04499 Issued in KS

Practice address

9209 W 110TH St BLDG 36
Overland Park, KS 66210-1401

Phone

(913) 648-8111

Fax

(913) 912-5870

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Katherine B Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1497870786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6299 W 157TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233588",
            "telephone_number": "816-809-4126",
            "fax_number": "913-912-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 W 110TH ST BLDG 36",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101401",
            "telephone_number": "913-648-8111",
            "fax_number": "913-912-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISAHA SMITH",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "04499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5107103",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13449020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SMITH",
            "middle_name": "B",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bio-Medical Applications of Kansas, Inc.
• Biomatrix Specialty Infusion KS, LLC
• Dawn T Bircher, O.D.
• Julie C Birdsong, COTA
• Kori Nicole Birzer
• Amber Evelyn Bischoff, PA-C
• Amelia Bishop
• Courtney J Bishop, ANP
• Henry Bishop, M.D.
• Kathryn Elizabth Bishop, DPT

• Chiropractor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.