Healthcare Provider Details

I. General information

NPI: 1235536988
Provider Name (Legal Business Name): SHIN ACUPUNCTURE & CHIROPRACTIC, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2014
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7050 W 105TH ST
OVERLAND PARK KS
66212-1803
US

IV. Provider business mailing address

7050 W 105TH ST
OVERLAND PARK KS
66212-1803
US

V. Phone/Fax

Practice location:
  • Phone: 913-649-2044
  • Fax: 913-649-2064
Mailing address:
  • Phone: 913-649-2044
  • Fax: 913-649-2064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-05645
License Number StateKS

VIII. Authorized Official

Name: DR. TAEJEON SHIN
Title or Position: OWNER/CHIROPRACTOR
Credential: D.C., L.AC.
Phone: 913-742-2881