State Line Chiropractic Center, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104388 Issued in KS

Legal business name

STATE LINE CHIROPRACTIC CENTER, PA

Practice address

8170 W 135TH St
Overland Park, KS 66223-1112

Phone

(913) 291-0156

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Larry Allen Holtfrerich, DCNPI 1881696649

Title

President

Phone

(913) 291-0156

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

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

• Larry A Holtfrerich, DC

  • Chiropractor
  • Overland Park, KS
  • NPI 1881696649
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1811050966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231112",
            "telephone_number": "913-291-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231112",
            "telephone_number": "913-291-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE LINE CHIROPRACTIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "HOLTFRERICH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-291-0156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "25203014",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Doyle Starling, LCMFT
• Maximillian James Hill Starr, DO, MS
• Shannon Starr
• Tanya Joy Templer Starr, DO, MS
• Starting Point Dental Services PA
• Statland Clinic LTD
• Statland Medical Group LLC
• Katerina Stavig
• Korbyn Lynn Steadman, PT, DPT
• Carlyn Alexis Stearns, BCBA, LBA

• 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 11, 2022; 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.