Organization Active NPI

Tallgrass Chiropractic Center, P.a.

  • Nutrition Chiropractor
  • Overland Park, KS
National Provider Identifier
1780875112
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
01-04687 Issued in KS
Legal business name
TALLGRASS CHIROPRACTIC CENTER, P.A.
Practice address
7108 W. 119TH Street
Overland Park, KS 66213
Phone
(913) 648-8600
Fax
(855) 894-8145
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Dr. Victoria Lee Rebman, D.C.
Title
Owner
Phone
(913) 648-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 01-04687 KS Primary

Addresses

Primary practice location

7108 W. 119TH Street
Overland Park, KS 66213

Mailing address

7108 W. 119TH Street
Overland Park, KS 66213
Phone (913) 648-8600

Other identifiers 1

IdentifierTypeStateIssuer
1780875112OtherKSNPI

National Provider Directory

National Provider Directory

Locations

7108 W 119th St
Overland Park, KS 66213
Phone (913) 300-1252

7218 W 121st St
Overland Park, KS 66213
Phone (913) 648-8600

8249 W 95th St
Ste 106
Overland Park, KS 66212
Phone (913) 648-8600

7427 W 119th St
Overland Park, KS 66213
Phone (913) 648-8600

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1780875112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 W. 119TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-648-8600",
            "fax_number": "855-894-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 W. 119TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-648-8600",
            "fax_number": "855-894-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLGRASS CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "REBMAN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-648-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "KS",
            "license": "01-04687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780875112",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.