Individual provider Active NPI

Raymond Vincent Satterwhite, D.C. D.A.B.C.I

  • Internist Chiropractor
  • Kansas City, MO
National Provider Identifier
1285762997
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
006477 Issued in MO
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
24483010OtherMOBLUE CROSS BLUE SHIELD
006477OtherMOCHIROPRATIC STATE NUMBER
5302462OtherMOAETNA

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

LicenseStateTypeSpecialty
006477MOMDInternist 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.

Verify at the official NPI Registry.