Organization Active NPI

Marc a. Robertson, D.C., P.a.

Doing business as McPherson Chiropractic Center

  • Chiropractor
  • McPherson, KS
National Provider Identifier
1073751400
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105089 Issued in KS
Legal business name
MARC A. ROBERTSON, D.C., P.A.
Doing business as
McPherson Chiropractic Center
Practice address
817 N Main St
McPherson, KS 67460-2839
Phone
(620) 241-2025
Fax
(620) 241-6571
NPI assigned
Jan 22, 2009
Last updated
Apr 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Dr. Marc Aaron Robertson, DC, ATC, CSCSNPI 1003944505
Title
Owner
Phone
(620) 241-2025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0105089 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

Other names 1

  • McPherson Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090302000570 KS Part B Supplier - Clinic/Group Practice 8123184074 Receives reassigned benefits from 1 practitioner
Practice locations: McPherson, KS

National Provider Directory

National Provider Directory

Locations

200 S Main St
McPherson, KS 67460
Phone (620) 241-2025

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1073751400",
    "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": {
        "organization_name": "MARC A. ROBERTSON, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-241-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McPherson Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.