Individual provider Active NPI

Robert Bowen Hatcher II, DC

  • Chiropractor
  • Iowa City, IA
National Provider Identifier
1497942692
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006997 Issued in IA
Practice address
811 S 1St Ave
Iowa City, IA 52245-5209
Phone
(319) 512-2993
NPI assigned
Oct 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006997 IA Primary

Addresses

Primary practice location

811 S 1St Ave
Iowa City, IA 52245-5209

Mailing address

811 S 1St Ave
Iowa City, IA 52245-5209
Phone (319) 621-3893

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071120000120 IA Practitioner - Chiropractic 8123116456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

811 S 1St Ave
Iowa City, IA 52245-5214
Phone (319) 512-2993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006997IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
All Family Chiropractic, P.C Chiropractor CurrentSince Jul 15, 2009 Accepting new patients
Lettman Chiropractic Rehab Care Chiropractor Past Accepting new patients
Chiropractic Rehab Center, PC Chiropractor Past Accepting new patients

Locations

811 S 1st Ave
Iowa City, IA 52245
Phone (319) 512-2993

Organizations & group practices 3

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1497942692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S 1ST AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522455209",
            "telephone_number": "319-621-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S 1ST AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522455209",
            "telephone_number": "319-512-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHER",
        "first_name": "ROBERT",
        "middle_name": "BOWEN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "006997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.