DR. TAEJEON SHIN D.C., L.AC
NPI 1962757575
Chiropractor in Overland Park, KS

Q: What is Taejeon Shin's NPI number?

The NPI number for Taejeon Shin is 1962757575. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Q: What is Taejeon Shin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Taejeon Shin was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since July 19, 2012Accepts Medicare Assignment

7050 W 105TH ST, OVERLAND PARK, KS 66212(913) 649-2044(913) 649-2064 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2026, Aug 1, 2019 (2 updates tracked since 2019).

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About Dr. Taejeon Shin D.c., L.ac NPPES

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

DR. TAEJEON SHIN D.C., L.AC (NPI 1962757575) is an individual chiropractor in Overland Park, Kansas, licensed in Kansas (01-05645) and active in the NPI registry since July 2012. He is a graduate of Other (2007).

NPPES Registry Identity

NPI1962757575

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. TAEJEON SHINCredential: D.C., L.AC

Location Address7050 W 105TH STOverland Park, KS 66212-1803

Mailing Address7050 W 105th StOverland Park, KS 66212-1803 · (913) 649-2044 · Fax (913) 649-2064

Phone(913) 649-2044

Fax(913) 649-2064

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 19, 2012

Last NPPES UpdateApril 30, 20262 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1962757575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in KS · 01-05645

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.

Also ListedAcupuncturistTaxonomy 171100000X · License 23-00018 (KS)

7050 W 105TH ST, Overland Park, KS 66212

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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, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Taejeon Shin D.c., L.ac 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 ID5698091262

PECOS Enrollment IDI20150226001575

Medicare Billing Reassignment

Medicare enrollment records show Taejeon Shin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shin Acupuncture & Chiropractic, P.A.

Same address

Chiropractor

7050 W 105TH ST
Overland Park, KS 66212

Reassigned Medicare billing, Kansas enrollment

NPI 1235536988 (913) 649-2044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, 1-2 spinal regions 98940

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

64 services18 patients

Other Providers at the Same Location NPPES 2

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

SHIN ACUPUNCTURE & CHIROPRACTIC, P.A.

Chiropractor

7050 W 105TH ST
OVERLAND PARK, KS 66212

Johnson County (913) 649-2044

SANGKEUN YEE DC

Chiropractor

7050 W 105TH ST
OVERLAND PARK, KS 66212

Johnson County (913) 649-2044

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 Taejeon Shin's NPI number?

The NPI number for Taejeon Shin is 1962757575. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Where is Taejeon Shin located?

Taejeon Shin practices at 7050 W 105th St, Overland Park, KS 66212. The listed phone number is (913) 649-2044.

What is Taejeon Shin's specialty?

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

Is Taejeon Shin enrolled in Medicare?

Yes. Taejeon Shin 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.

Which organization bills Medicare for Taejeon Shin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taejeon Shin reassigns Medicare benefits to Shin Acupuncture & Chiropractic, P.A. (Overland Park, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taejeon Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taejeon Shin accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Providence Health Plan list Taejeon Shin 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 Taejeon Shin was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.