Provider Demographics
NPI:1225067382
Name:MICHAEL A SPIESS DC INC
Entity type:Organization
Organization Name:MICHAEL A SPIESS DC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SPIESS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-648-7246
Mailing Address - Street 1:15203 W 87TH STREET PKWY
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1409
Mailing Address - Country:US
Mailing Address - Phone:913-648-7246
Mailing Address - Fax:913-599-1548
Practice Address - Street 1:15203 W 87TH STREET PKWY
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-1409
Practice Address - Country:US
Practice Address - Phone:913-648-7246
Practice Address - Fax:913-599-1548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04909111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS203314OtherBC/BS OF KANSAS
7746743OtherAETNA
S08000OtherMEDICARE PTAN
34943017OtherBC/BS
34971012OtherBC/BS
S08000OtherMEDICARE PTAN