Individual provider Active NPI

Robert Alan Riley, D.C.

  • Chiropractor
  • Lees Summit, MO
National Provider Identifier
1821080227
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2001023492 Issued in MO
Practice address
1225 SW Summit Hill Dr
Lees Summit, MO 64081-3270
Phone
(816) 516-2864
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2001023492 MO Primary
Acupuncturist 171100000X 2001023492 MO

Addresses

Primary practice location

1225 SW Summit Hill Dr
Lees Summit, MO 64081-3270

Mailing address

1225 SW Summit Hill Dr
Lees Summit, MO 64081-3270
Phone (816) 516-2864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000804 MO Practitioner - Chiropractic 0345143376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bateman Gatrost Chiro PCGroup PAC ID 8022071331, 7 clinicians

Practice addresses (Care Compare)

19501 E 40 Hwy
Suite B
Independence, MO 64055-5475
Phone 81679550001004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001023492MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bateman Gatrost Chiro PC Chiropractor CurrentSince Jun 1, 2019 Accepting new patients
Encompass Medical Group, PA Past Accepting new patients

Locations

19501 E US Highway 40
Ste B
Independence, MO 64055
Phone (816) 795-5000

19501 E US Highway 40
Independence, MO 64055
Phone (816) 795-5000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1821080227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 SW SUMMIT HILL DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813270",
            "telephone_number": "816-516-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 SW SUMMIT HILL DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813270",
            "telephone_number": "816-516-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2001023492",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MO",
            "license": "2001023492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.