Active NPI
Robert Eugene Patterson Jr., D.C.
- Chiropractor
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-3883
- Practice address
- 11791 W 112TH St
Suite 101
Overland Park, KS 66210-2761 - Phone
- (913) 345-9247
- NPI assigned
- Jan 25, 2007
- Last updated
- Feb 10, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-3883 | KS | Primary |
Addresses
Primary practice location
11791 W 112TH St
Suite 101
Overland Park, KS 66210-2761
Mailing address
9501 W 115TH Ter
Overland Park, KS 66210-2912
Phone (913) 322-3930
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44-08041 | Other | KS | UHC |
| 13804025 | Other | MO | BCBS KC |
| 0000855017 | Other | KS | AETNA |
| 560461 | Other | KS | BCBS KANSAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11791 W 112TH St
Suite 101
Overland Park, KS 66210-2755
Phone (913) 345-9247
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-3883 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overland Chiropractic Health Services PA | Chiropractor | Current | Accepting new patients |
| Arthur Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Locations
11705 College Blvd
Overland Park, KS 66210
Phone (913) 322-6326
11791 W 112th St
Ste 101
Overland Park, KS 66210
Phone (913) 345-9247
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.
-
- Chiropractor
- Overland Park, KS
- NPI 1043377724
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- Chiropractor
- Chanute, KS
- NPI 1023360724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1740336627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9501 W 115TH TER",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102912",
"telephone_number": "913-322-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11791 W 112TH ST",
"address_2": "SUITE 101",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102761",
"telephone_number": "913-345-9247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "ROBERT",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-3883",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "44-08041",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "13804025",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0000855017",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KANSAS",
"identifier": "560461",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.