1. Home
  2. Directory
  3. Kansas
  4. Overland Park
  5. Chiropractor
  6. NPI Profile

DR. MARK CHARLES CHILDRESS D.C.
NPI 1083726632
Chiropractor in Overland Park, KS

Active since August 31, 2006Accepts Medicare Assignment
11960 W 119TH ST, OVERLAND PARK, KS 66213(913) 744-2973(913) 245-9259 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Charles Childress D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK CHARLES CHILDRESS D.C. (NPI 1083726632) is an individual chiropractor in Overland Park, Kansas, licensed in Kansas (4944) and active in the NPI registry since August 2006. He is a graduate of Cleveland Chiropractic College - Kansas City (2005).

NPPES Registry Identity

NPI1083726632
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARK CHARLES CHILDRESSCredential: D.C.
Location Address11960 W 119TH STOverland Park, KS 66213-2216
Mailing Address15283 W 147th DrOlathe, KS 66062-5002 · (913) 744-2973 · Fax (913) 345-9259
Phone(913) 744-2973
Fax(913) 245-9259
Sole ProprietorNo
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2005
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083726632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in KS · 4944✔ Licensed in MO · 2006012360
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
11960 W 119TH ST, Overland Park, KS 66213
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINV07985KS
Medicare ID-Type UnspecifiedT71E345KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Charles Childress D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870517741
PECOS Enrollment IDI20060118000558

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
435 services53 patients

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KASTENS CHIROPRACTIC PA
Chiropractor
11960 W 119TH ST
OVERLAND PARK, KS 66213
Johnson County (913) 322-1020
DR. GINGER ANN KASTENS D.C.
Chiropractor
11960 W 119TH ST
OVERLAND PARK, KS 66213
Johnson County (913) 322-1020
DUNN CHIROPRACTIC, INC
Chiropractor
11960 W 119TH ST
OVERLAND PARK, KS 66213
Johnson County (913) 825-9281
SPINAL CARE CENTER, INC
Chiropractor
11960 W 119TH ST
OVERLAND PARK, KS 66213
Johnson County (913) 744-2973
NABCHIRO INC. CHARTERED
Chiropractor
11960 W 119TH ST
OVERLAND PARK, KS 66213
Johnson County (913) 345-9229
DR. AMANDA RENE' DUNN D.C.
Chiropractor
11960 W 119TH ST
OVERLAND PARK, KS 66213
Johnson County (913) 825-9281
DR. CHARLES EDWARD EMMS D.C
Chiropractor
11960 W 119TH ST
OVERLAND PARK, KS 66213
Johnson County (913) 322-4181
DR. KEZIA KAY SHINE D.C.
Chiropractor
11960 W 119TH ST
OVERLAND PARK, KS 66213
Johnson County (913) 322-0251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Childress's NPI number?

The NPI number for Mark Childress is 1083726632. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mark Childress located?

Mark Childress practices at 11960 W 119th St, Overland Park, KS 66213. The listed phone number is (913) 744-2973.

What is Mark Childress's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mark Childress enrolled in Medicare?

Yes. Mark Childress is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Childress accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Mark Childress as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Childress was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.