Provider Demographics
NPI:1083756456
Name:DENNIS R SCHARENBERG, D.C., P.A.
Entity Type:Organization
Organization Name:DENNIS R SCHARENBERG, D.C., P.A.
Other - Org Name:SCHARENBERG CHIROPRACTIC OFFICES
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:SCHARENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PA
Authorized Official - Phone:316-945-0015
Mailing Address - Street 1:3737 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-4925
Mailing Address - Country:US
Mailing Address - Phone:620-947-3157
Mailing Address - Fax:620-947-2630
Practice Address - Street 1:3737 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-4925
Practice Address - Country:US
Practice Address - Phone:316-945-0015
Practice Address - Fax:316-945-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSC3282111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
062119Medicare ID - Type Unspecified
T43790Medicare UPIN