Provider Demographics
NPI:1093931743
Name:UPCHURCH, DARIN M (DC)
Entity Type:Individual
Prefix:DR
First Name:DARIN
Middle Name:M
Last Name:UPCHURCH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11010 QUIVIRA RD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1239
Mailing Address - Country:US
Mailing Address - Phone:913-327-7246
Mailing Address - Fax:913-327-7248
Practice Address - Street 1:11010 QUIVIRA RD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1239
Practice Address - Country:US
Practice Address - Phone:913-327-7246
Practice Address - Fax:913-327-7248
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2469111N00000X
KS01-4367111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0005648554OtherAETNA
OH5965581OtherAETNA
OH000000141444OtherANTHEM
OH2128996Medicaid
KS39757011OtherBLUE CROSS BLUE SHIELD
KS39757011OtherBLUE CROSS BLUE SHIELD