Individual provider Active NPI

Roger Keith Oatman, D.C.

  • Chiropractor
  • Harrisonville, MO
National Provider Identifier
1700102670
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2006005530 Issued in MO
Practice address
2017 Plaza Dr
Harrisonville, MO 64701-1264
Phone
(816) 380-2436
NPI assigned
Apr 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2006005530 MO Primary

Addresses

Primary practice location

2017 Plaza Dr
Harrisonville, MO 64701-1264

Mailing address

904 McIntosh Cir
Belton, MO 64012-4740
Phone (816) 331-5951

Other identifiers 1

IdentifierTypeStateIssuer
74-2557028OtherTXFEDERAL (EMPLOYER) TAX ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2749TXMDBehavioral Analyst
2006005530MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Health Chiropractic Inc Chiropractor PastSince Feb 1, 2007 Accepting new patients

Organizations & group practices 1

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": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1700102670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 MCINTOSH CIR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640124740",
            "telephone_number": "816-331-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 PLAZA DR",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647011264",
            "telephone_number": "816-380-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATMAN",
        "first_name": "ROGER",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006005530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL (EMPLOYER) TAX ID #",
            "identifier": "74-2557028",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.