Individual provider Active NPI

Robert A Pratt, DC

  • Chiropractor
  • Pueblo, CO
National Provider Identifier
1356422620
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2764 Issued in CO
Practice address
3023 W Northern Ave
Pueblo, CO 81005-2316
Phone
(719) 564-0461
Fax
(719) 566-8600
NPI assigned
Oct 17, 2006
Last updated
Apr 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2764 CO Primary

Addresses

Primary practice location

3023 W Northern Ave
Pueblo, CO 81005-2316

Mailing address

3023 W Northern Ave
Pueblo, CO 81005-2316
Phone (719) 564-0461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000238 CO Practitioner - Chiropractic 4880626530 Practice locations: Pueblo, CO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3023 W Northern Ave
Pueblo, CO 81005-2316

3032 W Northern
Pueblo, CO 81005-2317

3032 W Northern Ave
Pueblo, CO 81005-2317
Phone (719) 564-0461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2764COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1356422620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 W NORTHERN AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052316",
            "telephone_number": "719-564-0461",
            "fax_number": "719-566-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 W NORTHERN AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052316",
            "telephone_number": "719-564-0461",
            "fax_number": "719-566-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.