Cole Pasternak, D.C.
Individual provider Active NPI Chiropractor · Independence, KS
NPI 1760848675 · NPPES record last updated Oct 23, 2024
Key facts
- NPI
- 1760848675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-05767 (KS)
- Practice address
- 720 W Laurel St
Independence, KS 67301-3210 - Phone
- (620) 331-5240
- Fax
- (620) 331-1569
- NPI assigned
- Jan 7, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
720 W Laurel St
Independence, KS 67301-3210
Phone (620) 331-5240
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160126000207 | KS | Practitioner - Chiropractic | 9032412010 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05767 | KS | Yes |
Addresses
Primary practice location
720 W Laurel St
Independence, KS 67301-3210
Mailing address
720 W Laurel St
Independence, KS 67301-3210
Phone (620) 331-5240
Other providers in Independence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.