Active NPI
Jonathan L Roberts
- Chiropractor
- Newton, KS
National Provider Identifier
1700985371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-03990
- Practice address
- 230 W 6TH St
Newton, KS 67114-2131 - Phone
- (316) 283-2460
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-03990 | KS | Primary |
Addresses
Primary practice location
230 W 6TH St
Newton, KS 67114-2131
Mailing address
PO Box 525
Newton, KS 67114-0525
Phone (316) 283-2460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059957 | Other | KS | BCBS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100428000865 | KS | Practitioner - Chiropractic | 5597892240 | Practice locations: Newton, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
230 W 6TH St
Newton, KS 67114-2131
Phone (316) 283-2460
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan L. Roberts | Chiropractor | Current | Accepting new patients |
Locations
230 W 6th St
Newton, KS 67114
Phone (313) 283-2460
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.
-
- Chiropractor
- Newton, KS
- NPI 1750048823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700985371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 525",
"city": "NEWTON",
"state": "KS",
"postal_code": "671140525",
"telephone_number": "316-283-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W 6TH ST",
"city": "NEWTON",
"state": "KS",
"postal_code": "671142131",
"telephone_number": "316-283-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JONATHAN",
"middle_name": "L",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-03990",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "059957",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.