Provider Demographics
NPI:1215975131
Name:ACTIVE CARE CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:ACTIVE CARE CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:SCHINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-341-2900
Mailing Address - Street 1:7811 MARTY ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2925
Mailing Address - Country:US
Mailing Address - Phone:913-341-2900
Mailing Address - Fax:913-341-5389
Practice Address - Street 1:7811 MARTY ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2925
Practice Address - Country:US
Practice Address - Phone:913-341-2900
Practice Address - Fax:913-341-5389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04888111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSQ770000Medicare ID - Type UnspecifiedGROUP NUMBER
KSQ77D015Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER