Organization Active NPI

Tim Bhakta, PA

  • Chiropractor
  • Olathe, KS
National Provider Identifier
1609811819
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104981 Issued in KS
Legal business name
TIM BHAKTA, PA
Doing business as
Active Chiropractic Group
Practice address
401 S Clairborne Rd
Ste 202
Olathe, KS 66062-1735
Phone
(913) 397-6900
Fax
(913) 397-7999
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Dr. Timir Bhakta, D.C.
Title
President
Phone
(913) 397-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104981 KS Primary

Addresses

Primary practice location

401 S Clairborne Rd
Ste 202
Olathe, KS 66062-1735

Mailing address

PO Box 2875
Olathe, KS 66063-0875
Phone (913) 397-6900

Other identifiers 1

IdentifierTypeStateIssuer
36022028OtherKSBLUE CROSS BLUE SHIELD KANSAS CITY

Other names 1

  • Active Chiropractic Group Doing business as

National Provider Directory

National Provider Directory

Locations

401 S Clairborne Rd
Ste 202
Olathe, KS 66062
Phone (913) 397-6900

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1609811819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2875",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660630875",
            "telephone_number": "913-397-6900",
            "fax_number": "913-397-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S CLAIRBORNE RD",
            "address_2": "STE 202",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621735",
            "telephone_number": "913-397-6900",
            "fax_number": "913-397-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM BHAKTA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "TIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-397-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KANSAS CITY",
            "identifier": "36022028",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Chiropractic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.