Organization Active NPI

Robertson Chiropractic, LLC

  • Chiropractor
  • Valley Center, KS
National Provider Identifier
1659800274
Registry record updated Jun 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05846 Issued in KS
Legal business name
ROBERTSON CHIROPRACTIC, LLC
Practice address
1220 S Meridian Ave Ste B
Valley Center, KS 67147-4969
Phone
(316) 214-9403
NPI assigned
Jun 7, 2017
Last updated
Jun 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2017

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

Authorized official

Name
Dr. Danielle Lynn Robertson, DCNPI 1902335177
Title
Doctor of Chiropractic
Phone
(316) 214-9403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05846 KS Primary

Addresses

Primary practice location

1220 S Meridian Ave Ste B
Valley Center, KS 67147-4969

Mailing address

928 N Redbud CT
Valley Center, KS 67147-3215
Phone (316) 214-9403

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170818002189 KS Part B Supplier - Clinic/Group Practice 3577835933 Receives reassigned benefits from 1 practitioner
Practice locations: Valley Center, KS

National Provider Directory

National Provider Directory

Locations

1220 S Meridian Ave
Ste B
Valley Center, KS 67147
Phone (316) 214-9403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496793600000",
    "number": "1659800274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 N REDBUD CT",
            "city": "VALLEY CENTER",
            "state": "KS",
            "postal_code": "671473215",
            "telephone_number": "316-214-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S MERIDIAN AVE STE B",
            "city": "VALLEY CENTER",
            "state": "KS",
            "postal_code": "671474969",
            "telephone_number": "316-214-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTSON CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "316-214-9403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Center, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.