Individual provider Active NPI

Leonard Wayne Bateman, D.C.

  • Chiropractor
  • Independence, MO
National Provider Identifier
1366466203
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004289 Issued in MO
Practice address
19501 E US Highway 40
Suite B
Independence, MO 64055-5463
Phone
(816) 795-5000
Fax
(816) 795-5001
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 004289 MO Primary

Addresses

Primary practice location

19501 E US Highway 40
Suite B
Independence, MO 64055-5463

Mailing address

19501 E US Highway 40
Suite B
Independence, MO 64055-5463
Phone (816) 795-5000

Other identifiers 5

IdentifierTypeStateIssuer
10272015OtherMOBLUE CROSS BLUE SHIELD
14082OtherMOCOVENTRY
5340600OtherMOAETNA
10272015OtherMOBLUE CROSS & BLUE SHIELD
4400233OtherMOUNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100925000127 MO Practitioner - Chiropractic 7719940022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bateman Gatrost Chiro PCGroup PAC ID 8022071331, 7 clinicians

Practice addresses (Care Compare)

19501 E 40 Hwy
Suite B
Independence, MO 64055-5475
Phone 81679550001004

19501 E US Hwy 40 B
Independence, MO 64055-5475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004289MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bateman Gatrost Chiro PC Chiropractor CurrentSince Jan 1, 1994 Accepting new patients

Locations

19501 E US Highway 40
Ste B
Independence, MO 64055
Phone (816) 795-5000

19501 E US Highway 40
Independence, MO 64055
Phone (816) 795-5000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1366466203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19501 E US HIGHWAY 40",
            "address_2": "SUITE B",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555463",
            "telephone_number": "816-795-5000",
            "fax_number": "816-795-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19501 E US HIGHWAY 40",
            "address_2": "SUITE B",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555463",
            "telephone_number": "816-795-5000",
            "fax_number": "816-795-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "LEONARD",
        "middle_name": "WAYNE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "10272015",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "14082",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5340600",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "10272015",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4400233",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.