Active NPI
Debra K Robertson-Moore, DC
- Chiropractor
- Overland Park, KS
National Provider Identifier
1881890689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-04451
- Practice address
- 10850 Lowell Ave
Overland Park, KS 66210-1613 - Phone
- (913) 234-0638
- NPI assigned
- Jun 27, 2007
- Sex
- Female
- 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 | 01-04451 | KS | Primary |
Addresses
Primary practice location
10850 Lowell Ave
Overland Park, KS 66210-1613
Mailing address
2826 S 25TH St
Kansas City, KS 66106-4412
Phone (913) 234-0638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-04451 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454803200000",
"number": "1881890689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2826 S 25TH ST",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661064412",
"telephone_number": "913-234-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10850 LOWELL AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101613",
"telephone_number": "913-234-0638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON-MOORE",
"first_name": "DEBRA",
"middle_name": "K",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2016-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04451",
"primary": true
}
],
"identifiers": [],
"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 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.