Robert G Gage, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10-3389 Issued in KS

Practice address

1701 E Madison Ave
Ste a
Derby, KS 67037-2079

Phone

(316) 788-3713

Fax

(316) 788-3231

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kansas Chiropractic Clinics, LLC

  • Health Service Clinic/Center
  • Derby, KS
  • NPI 1306021860
  NPD (past) Authorized official

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1346215258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E MADISON AVE",
            "address_2": "STE A",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372079",
            "telephone_number": "316-788-3713",
            "fax_number": "316-788-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E MADISON AVE",
            "address_2": "STE A",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372079",
            "telephone_number": "316-788-3713",
            "fax_number": "316-788-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGE",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "10-3389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "007277",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna L Foust, DPT
• David C. Fuller, DPT
• Kim Fuller
• Jason Funk, PTA
• Matthew R. Gage, DC
• Margaret Bethany Gale, COTA/L
• Liliana Galvan
• Melissa D Gardner, PTA
• Steven A Garner, MD
• Cynthia S George

• Chiropractor in Derby, KS
• Providers in Derby, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.