Cole Pasternak, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05767 Issued in KS

Practice address

720 W Laurel St
Independence, KS 67301-3210

Phone

(620) 331-5240

Fax

(620) 331-1569

NPI assigned

Jan 7, 2016

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Bbac Independence Chiropractic

  dba Independence Chiropractic

  • Chiropractor
  • Independence, KS
  • NPI 1245554658
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1760848675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W LAUREL ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013210",
            "telephone_number": "620-331-5240",
            "fax_number": "620-331-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W LAUREL ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013210",
            "telephone_number": "620-331-5240",
            "fax_number": "620-331-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTERNAK",
        "first_name": "COLE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-07",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Alan Null, DC
• Scott A Null, D.C.
• Kaysha D O'Daniel, PTA
• Jodi Oder, APRN-CNP
• Yehoshua M. Othniel
• Devishkumar H Patel, DDS
• Beth Patton, L.M.S.W.
• Daniela Pena Lucena
• Ciera M Perry, PTA
• Deepa Perumal, MD

• Chiropractor in Independence, KS
• Providers in Independence, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.

Verify at the official NPI Registry.