Star Chiropractic Family Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0104722 Issued in KS

Legal business name

STAR CHIROPRACTIC FAMILY CLINIC

Practice address

11644 W 75TH St
Suite 102
Shawnee, KS 66214-1372

Phone

(913) 248-9900

Fax

(913) 248-9902

NPI assigned

Dec 14, 2011

Organization subpart

No

Name

Dr. Kokab Husain, D.C.

Title

Owner

Phone

(913) 689-9342

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2012.

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1598034993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11644 W 75TH ST",
            "address_2": "SUITE 102",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662141372",
            "telephone_number": "913-248-9900",
            "fax_number": "913-248-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11644 W 75TH ST",
            "address_2": "SUITE 102",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662141372",
            "telephone_number": "913-248-9900",
            "fax_number": "913-248-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CHIROPRACTIC FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "KOKAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-689-9342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KS",
            "license": "0104722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "29686014",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cortni Stahlheber
• Melissa Stallbaumer, RN
• Standup Mobility, LLC
• Lucas Matthew Stanker, D.C.
• Debra Stanton
• Danielle R. Stebbins, MD
• Abby Steffen
• Ambria Steinberger
• Brooke Nichole Steiner, PHARMD
• Taylor Stephens

• All providers in Shawnee, KS
• Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.