Active NPI
Raymond Vincent Satterwhite, D.C. D.A.B.C.I
- Internist Chiropractor
- Kansas City, MO
National Provider Identifier
1285762997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 006477
- Practice address
- 5008 NE 45TH Ter
Kansas City, MO 64117-1944 - Phone
- (816) 452-1129
- Fax
- (816) 452-5120
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 006477 | MO | Primary |
Addresses
Primary practice location
5008 NE 45TH Ter
Kansas City, MO 64117-1944
Mailing address
5008 NE 45TH Terrace
Kansas City, MO 64117
Phone (816) 452-1129
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24483010 | Other | MO | BLUE CROSS BLUE SHIELD |
| 006477 | Other | MO | CHIROPRATIC STATE NUMBER |
| 5302462 | Other | MO | AETNA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006477 | MO | MD | Internist Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285762997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 NE 45TH TERRACE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64117",
"telephone_number": "816-452-1129",
"fax_number": "816-452-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5008 NE 45TH TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641171944",
"telephone_number": "816-452-1129",
"fax_number": "816-452-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATTERWHITE",
"first_name": "RAYMOND",
"middle_name": "VINCENT",
"credential": "D.C. D.A.B.C.I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "MO",
"license": "006477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "24483010",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRATIC STATE NUMBER",
"identifier": "006477",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5302462",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.