Individual provider Active NPI

Andrew David Yates, DC

  • Chiropractor
  • Owensboro, KY
National Provider Identifier
1477543270
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5221 Issued in KY
Practice address
507 E Parrish Ave
Owensboro, KY 42303-3126
Phone
(270) 852-9355
Fax
(270) 852-1870
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5221 KY Primary

Addresses

Primary practice location

507 E Parrish Ave
Owensboro, KY 42303-3126

Mailing address

PO Box 1394
Owensboro, KY 42302-1394
Phone (270) 852-9355

Other identifiers 1

IdentifierTypeStateIssuer
7100110950MedicaidKY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5221KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Plus, PLLC Chiropractor Past Accepting new patients
Clark Chiropractic Center,LLC Past Accepting new patients
Newburgh Chiropractic PSC Chiropractor Past Accepting new patients
Macoupin County Chiro Partnership Chiropractor PastSince May 13, 2011 Accepting new patients
Dawn M Robinson Chiropractic SC Chiropractor Past Accepting new patients
North Arkansas Regional Medical Center Past Accepting new patients

Organizations & group practices 6

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1477543270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1394",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423021394",
            "telephone_number": "270-852-9355",
            "fax_number": "270-852-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033126",
            "telephone_number": "270-852-9355",
            "fax_number": "270-852-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100110950",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.