Taejeon Shin, D.C., L.AC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05645 Issued in KS

Practice address

7050 W 105TH St
Overland Park, KS 66212-1803

Phone

(913) 649-2044

Fax

(913) 649-2064

NPI assigned

Jul 19, 2012

Last updated

Apr 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shin Acupuncture & Chiropractic, P.a.

  dba Kansas Acupuncture and Chiropractic Clinic

  • Chiropractor
  • Overland Park, KS
  • NPI 1235536988
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1962757575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121803",
            "telephone_number": "913-649-2044",
            "fax_number": "913-649-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121803",
            "telephone_number": "913-649-2044",
            "fax_number": "913-649-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "TAEJEON",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05645",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "KS",
            "license": "23-00018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dawn Sherrick, NP-C
• Tseng-Kuo Shiao, M.D.
• Kendra Jean Shimak
• Shin Acupuncture & Chiropractic, P.a. (Kansas Acupuncture and Chiropractic Clinic)
• Philippians Shin
• Kezia Kay Shine, D.C.
• Kathleen Shipley
• Katie Elizabeth Shipley, PT
• Lauren Shipley, PT, DPT
• Lance Shipman, MD

• 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 Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.