Individual provider Active NPI

Robert A Whittaker, D.C.

  • Chiropractor
  • Flatwoods, KY
National Provider Identifier
1245337203
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3968 Issued in KY
Practice address
905 Bellefonte Rd
Flatwoods, KY 41139-2005
Phone
(606) 836-2522
Fax
(606) 836-0257
NPI assigned
Sep 20, 2006
Last updated
Dec 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 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 3968 KY Primary

Addresses

Primary practice location

905 Bellefonte Rd
Flatwoods, KY 41139-2005

Mailing address

905 Bellefonte Rd
Flatwoods, KY 41139-2005
Phone (606) 836-2522

Other identifiers 1

IdentifierTypeStateIssuer
611142054OtherKYTAX IDENTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1245337203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 BELLEFONTE RD",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411392005",
            "telephone_number": "606-836-2522",
            "fax_number": "606-836-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 BELLEFONTE RD",
            "city": "FLATWOODS",
            "state": "KY",
            "postal_code": "411392005",
            "telephone_number": "606-836-2522",
            "fax_number": "606-836-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "611142054",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flatwoods, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.