Individual provider Active NPI

Robert W Warner, DC PA

  • Chiropractor
  • Lawrence, KS
National Provider Identifier
1083802664
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-03798 Issued in KS
Practice address
2112 Bob Billings Pkwy
Ste 1
Lawrence, KS 66049-2722
Phone
(785) 843-3033
Fax
(785) 843-3127
NPI assigned
Oct 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-03798 KS Primary

Addresses

Primary practice location

2112 Bob Billings Pkwy
Ste 1
Lawrence, KS 66049-2722

Mailing address

2112 Bob Billings Pkwy
Ste 1
Lawrence, KS 66049-2722
Phone (785) 843-3033

Other identifiers 8

IdentifierTypeStateIssuer
350011416OtherKSRAILROAD MEDICARE
37371OtherKSPREFERRED HEALTH PROFESSI
5305636OtherKSAETNA
062466OtherKSBLUE CROSS BLUE SHIELD KS
007359OtherKSBLUE CROSS BLUE SHIELD
10881944OtherKSCAQH CREDENTIALING DATA
160522OtherKSUNITED HEALTHCARE
2385019OtherMOBLUE CROSS OF KANSAS CITY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422001235 KS Practitioner - Chiropractic 0749228328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2112 Bob Billings Pkwy
Suite 1
Lawrence, KS 66049-2722
Phone (785) 843-3033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01-03798KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert W Warner DC PA Chiropractor CurrentSince Mar 17, 1986 Accepting new patients

Locations

2112 Bob Billings Pkwy
Ste 1
Lawrence, KS 66049
Phone (785) 843-3033

536 Fireside Ct
Ste C
Lawrence, KS 66049
Phone (785) 843-3033

Organizations & group practices 1

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1083802664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 BOB BILLINGS PKWY",
            "address_2": "STE 1",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492722",
            "telephone_number": "785-843-3033",
            "fax_number": "785-843-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 BOB BILLINGS PKWY",
            "address_2": "STE 1",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492722",
            "telephone_number": "785-843-3033",
            "fax_number": "785-843-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-03798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350011416",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH PROFESSI",
            "identifier": "37371",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5305636",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KS",
            "identifier": "062466",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "007359",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH CREDENTIALING DATA",
            "identifier": "10881944",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "160522",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF KANSAS CITY",
            "identifier": "2385019",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.