Individual provider Active NPI

John Eric Rasmussen, D.C., D.A.B.C.O.

  • Orthopedic Chiropractor
  • Prairie Village, KS
National Provider Identifier
1568461408
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
C3600 Issued in KS
Practice address
1900 W 75TH St
Ste. 210
Prairie Village, KS 66208-3501
Phone
(913) 677-4224
Fax
(913) 677-4225
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X C3600 KS
Orthopedic Chiropractor 111NX0800X C3600 KS Primary

Addresses

Primary practice location

1900 W 75TH St
Ste. 210
Prairie Village, KS 66208-3501

Mailing address

1900 W 75TH St
Ste. 210
Prairie Village, KS 66208-3501
Phone (913) 677-4224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000105 KS Practitioner - Chiropractic 2860684701 Practice locations: Prairie Village, KS

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1900 W 75TH St
Prairie Village, KS 66208-3501
Phone (913) 677-4224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C3600KSMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1568461408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W 75TH ST",
            "address_2": "STE. 210",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083501",
            "telephone_number": "913-677-4224",
            "fax_number": "913-677-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W 75TH ST",
            "address_2": "STE. 210",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083501",
            "telephone_number": "913-677-4224",
            "fax_number": "913-677-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.B.C.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "C3600",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "KS",
            "license": "C3600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.