Kevin Stallbaumer, D.C. LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05248 Issued in KS

Legal business name

KEVIN STALLBAUMER, D.C. LLC

Practice address

8764 W 95TH St
Overland Park, KS 66212-4049

Phone

(913) 738-6018

Fax

(913) 383-2279

NPI assigned

Aug 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Stallbaumer, D.C.NPI 1164662722

Title

Owner

Phone

(913) 738-6018

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Stallbaumer, D.C.

  • Chiropractor
  • Overland Park, KS
  • NPI 1164662722
  Medicare reassignment Care Compare group NPD Authorized official
• Adam Tran, DC

  • Chiropractor
  • Overland Park, KS
  • NPI 1376859199
  Medicare reassignment Care Compare group NPD
• Christopher Aaron Ullom, D.C.

  • Chiropractor
  • Overland Park, KS
  • NPI 1801040761
  NPD (past)

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

{
    "created_epoch": "1377302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1710311998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8764 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662124049",
            "telephone_number": "913-738-6018",
            "fax_number": "913-383-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8764 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662124049",
            "telephone_number": "913-738-6018",
            "fax_number": "913-383-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN STALLBAUMER, D.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-24",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "STALLBAUMER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-738-6018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0009926260",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "KA2629",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "42265037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katharine Kesler, SLP
• Kessler Eyecare, P.a.
• Alan Z Kessler, D.O.
• Joseph L Kessler, O.D.
• Christopher S Ketcherside, MD
• Sarah Franceen Key, PT, DPT
• Michael Jonathan Khadavi, MD
• Sampada Khadka
• Tina Khaleghi
• Sheba Khalid, M.D. L.L.C.

• 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 Feb 2, 2015; 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.