Regenerative Health Center LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

REGENERATIVE HEALTH CENTER LLC

Practice address

6850 Hilltop Rd Ste 170
Shawnee, KS 66226-3562

Phone

(913) 440-4017

Fax

(913) 642-0653

NPI assigned

Feb 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Robyn Rachelle Desautel, DCNPI 1215100870

Title

Owner

Phone

(206) 313-2811

Specialties & licenses 5

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robyn Rachelle Desautel, D.C.

  • Chiropractor
  • Seattle, WA
  • NPI 1215100870
  NPD Authorized official
• Mark Blaine Kingsbury, D.C.

  • Chiropractor
  • Los Gatos, CA
  • NPI 1225275076
  NPD (past)

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1669939625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 W 158TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662243896",
            "telephone_number": "206-313-2811",
            "fax_number": "913-246-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 HILLTOP RD STE 170",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263562",
            "telephone_number": "913-440-4017",
            "fax_number": "913-642-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "DESAUTEL",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "RACHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-313-2811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Rehabilitation Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.