Active NPI
Robert E Kessler, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Henderson, NV
National Provider Identifier
1700878287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 280
- Practice address
- 874 American Pacific Dr
Henderson, NV 89014-8800 - Phone
- (702) 777-4809
- Fax
- (702) 777-4822
- NPI assigned
- Aug 19, 2005
- Last updated
- Jul 13, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 280 | NV | Primary |
| Family Medicine Physician | 207Q00000X | 280 | NV |
Addresses
Primary practice location
874 American Pacific Dr
Henderson, NV 89014-8800
Mailing address
874 American Pacific Dr
Henderson, NV 89014-8800
Phone (702) 777-3138
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NV00909 | Other | NV | SUBMITTER ID |
| VDO280 | Other | NV | PTAN |
| NV5526 | Other | NV | BC BS |
| 002002230 | Medicaid | NV | |
| VD0O280 | Other | NV | LEGACY PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 82ND Dr
Suite 100
Gladstone, OR 97027-2550
Phone (503) 831-9231
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280 | NV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthia Worden LLC | Family Medicine | Current | Accepting new patients |
| Keith Turner Slicho, DO, PC | Neuromusculoskeletal Medicine & Omm | Past | Accepting new patients |
Locations
15 82nd Dr
Ste 100
Gladstone, OR 97027
Phone (503) 831-9231
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Gladstone, OR
- NPI 1295969608
-
dba The Osteopath
- Neuromusculoskeletal Medicine & OMM Physician
- Portland, OR
- NPI 1720614449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342137600000",
"number": "1700878287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 AMERICAN PACIFIC DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890148800",
"telephone_number": "702-777-3138",
"fax_number": "702-777-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 AMERICAN PACIFIC DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890148800",
"telephone_number": "702-777-4809",
"fax_number": "702-777-4822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSLER",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2012-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NV",
"license": "280",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "280",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBMITTER ID",
"identifier": "NV00909",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "VDO280",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "NV5526",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002002230",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LEGACY PROVIDER #",
"identifier": "VD0O280",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.