Individual provider Active NPI

Marc A Robertson, DC, ATC, CSCS

  • Chiropractor
  • McPherson, KS
National Provider Identifier
1003944505
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05089 Issued in KS
Practice address
817 N Main St
McPherson, KS 67460-2839
Phone
(620) 241-2025
Fax
(620) 241-6571
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05089 KS Primary

Addresses

Primary practice location

817 N Main St
McPherson, KS 67460-2839

Mailing address

817 N Main St
McPherson, KS 67460-2839
Phone (620) 241-2025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070821000282 KS Practitioner - Chiropractic 1254423346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

817 N Main St
McPherson, KS 67460-2839
Phone (620) 241-2025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05089KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Barnt Chiropractic Clinic LLC Chiropractor CurrentSince Feb 9, 2016 Accepting new patients
Marc a. Robertson, D.C., P.a. Chiropractor CurrentSince Mar 2, 2009 Accepting new patients
Matthew R. Gage, D.C.,P.a. Chiropractor PastSince Jan 31, 2004 Accepting new patients

Locations

817 N Main St
McPherson, KS 67460
Phone (620) 241-2025

209 N Main St
McPherson, KS 67460
Phone (620) 240-2025

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1003944505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 N MAIN ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602839",
            "telephone_number": "620-241-2025",
            "fax_number": "620-241-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 N MAIN ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602839",
            "telephone_number": "620-241-2025",
            "fax_number": "620-241-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MARC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.