Organization Active NPI

Rob Chiro Inc

  • Chiropractor
  • Lawrence, KS
National Provider Identifier
1265597173
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-4177 Issued in KS
Legal business name
ROB CHIRO INC
Practice address
3320 Peterson Rd
Ste. 100
Lawrence, KS 66049-1738
Phone
(785) 843-3979
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Glenn B. Robertson, D.C.NPI 1437269883
Title
Owner & President
Phone
(785) 843-3979

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 01-4177 KS Primary

Addresses

Primary practice location

3320 Peterson Rd
Ste. 100
Lawrence, KS 66049-1738

Mailing address

3320 Peterson Rd
Ste. 100
Lawrence, KS 66049-1738
Phone (785) 843-3979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120827000296 KS Part B Supplier - Clinic/Group Practice 0042467011 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS

National Provider Directory

National Provider Directory

Locations

3200 Mesa Way
Ste B
Lawrence, KS 66049
Phone (785) 843-3979

Practitioners & affiliated clinicians

Practitioners 1

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": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1265597173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 PETERSON RD",
            "address_2": "STE. 100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491738",
            "telephone_number": "785-843-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 PETERSON RD",
            "address_2": "STE. 100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491738",
            "telephone_number": "785-843-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROB CHIRO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER & PRESIDENT",
        "authorized_official_telephone_number": "785-843-3979",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-4177",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 25, 2015; 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.