Individual provider Active NPI

Robert C. Prather, D.C.

  • Internist Chiropractor
  • Indianapolis, IN
National Provider Identifier
1598813008
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
972 Issued in IN
Practice address
8902 N Meridian St Ste 101
Indianapolis, IN 46260-5306
Phone
(317) 848-8048
Fax
(317) 575-8807
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 972 IN Primary

Addresses

Primary practice location

8902 N Meridian St Ste 101
Indianapolis, IN 46260-5306

Mailing address

2439 Laurel Lake Blvd
Carmel, IN 46032-8902
Phone (317) 733-0064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051209000367 IN Practitioner - Chiropractic 5294756920 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
972INMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health & Wellness CurrentSince Jun 7, 2012 Accepting new patients
Major Hospital Past Accepting new patients
Meridian Spine and Joint Rehabilitation Center PastSince Aug 1, 2008 Accepting new patients

Locations

8902 N Meridian St
Ste 101
Indianapolis, IN 46260
Phone (317) 816-8000

Organizations & group practices 4

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1598813008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 LAUREL LAKE BLVD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328902",
            "telephone_number": "317-733-0064",
            "fax_number": "317-873-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605306",
            "telephone_number": "317-848-8048",
            "fax_number": "317-575-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IN",
            "license": "972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.