Individual provider Active NPI

Robert Nab, D.C.

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1891738779
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04273 Issued in KS
Practice address
11960 W 119TH St
Overland Park, KS 66213-2216
Phone
(913) 345-9229
Fax
(913) 345-9259
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04273 KS Primary

Addresses

Primary practice location

11960 W 119TH St
Overland Park, KS 66213-2216

Mailing address

11960 W 119TH St
Overland Park, KS 66213-2216
Phone (913) 345-9229

Other identifiers 1

IdentifierTypeStateIssuer
21911018OtherKSBCBSKC ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414000951 KS Practitioner - Chiropractic 0244224079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Medical College, Homeopathic, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11960 W 119TH St
Overland Park, KS 66213-2216
Phone (913) 345-9229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04273KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nabchiro Inc. Chartered Chiropractor CurrentSince Apr 1, 2004 Accepting new patients

Locations

11960 W 119th St
Overland Park, KS 66213
Phone (913) 322-1020

Organizations & group practices 1

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1891738779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132216",
            "telephone_number": "913-345-9229",
            "fax_number": "913-345-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132216",
            "telephone_number": "913-345-9229",
            "fax_number": "913-345-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAB",
        "first_name": "ROBERT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "04273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC ID #",
            "identifier": "21911018",
            "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 Sep 26, 2012; 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.