Healthcare Provider Details

I. General information

NPI: 1093651218
Provider Name (Legal Business Name): JARROD SHANE TRAHIN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 E NORTH AVE
BELTON MO
64012-5105
US

IV. Provider business mailing address

11719 MONROVIA ST
OVERLAND PARK KS
66210-1397
US

V. Phone/Fax

Practice location:
  • Phone: 816-535-5101
  • Fax:
Mailing address:
  • Phone: 931-993-3990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2026000600
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: