Active NPI
Robert Alan Hervey, D.C.
- Chiropractor
- Union, MO
National Provider Identifier
1548490923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2009021166
- Practice address
- 302 US Highway 50 W Ste a
Union, MO 63084-1966 - Phone
- (636) 744-1600
- NPI assigned
- Jul 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2009021166 | MO | Primary |
Addresses
Primary practice location
302 US Highway 50 W Ste a
Union, MO 63084-1966
Mailing address
302 US Highway 50 W Ste a
Union, MO 63084-1966
Phone (636) 744-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090911000105 | MO | Practitioner - Chiropractic | 5294880415 | Practice locations: Union, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
302 US Hwy 50 W a
Union, MO 63084-1966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009021166 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1548490923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 US HIGHWAY 50 W STE A",
"city": "UNION",
"state": "MO",
"postal_code": "630841966",
"telephone_number": "636-744-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 US HIGHWAY 50 W STE A",
"city": "UNION",
"state": "MO",
"postal_code": "630841966",
"telephone_number": "636-744-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERVEY",
"first_name": "ROBERT",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-21",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2009021166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.