Provider Demographics
NPI:1588855894
Name:CHRISTOPHER TIMMER DCPA
Entity Type:Organization
Organization Name:CHRISTOPHER TIMMER DCPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:TIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-307-0150
Mailing Address - Street 1:15203 W 87TH STREET PKWY
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1409
Mailing Address - Country:US
Mailing Address - Phone:913-307-0150
Mailing Address - Fax:913-599-1548
Practice Address - Street 1:15203 W 87TH STREET PKWY
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-1409
Practice Address - Country:US
Practice Address - Phone:913-307-0150
Practice Address - Fax:913-599-1548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS372575OtherBCBS FOR STATE EMPLOYEES
KSP00182351OtherRAILROAD MEDICARE #
KS28235029OtherBCBS PROVIDER NUMBER
KSN840000OtherMEDICARE GROUP
KSP00182351OtherRAILROAD MEDICARE #
KSN84A918Medicare PIN