Maustin Otterstatter

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2022000956 Issued in MO

Practice address

114 Congress St
Belton, MO 64012-2400

Phone

(816) 331-8900

NPI assigned

Jan 18, 2022

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vita Chiropractic LLCGroup PAC ID 3577999515, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vita Chiropractic LLC

  • Chiropractor
  • Merriam, KS
  • NPI 1275178741
  Medicare reassignment Care Compare group
• Abundant Life Chiropractic of Belton, P.C.

  • Chiropractor
  • Belton, MO
  • NPI 1780096560
  NPD
• Abundant Life Chiropractic, LLC

  • Chiropractor
  • Belton, MO
  • NPI 1366605503
  NPD (past)

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1982355327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6527 HALSEY ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CONGRESS ST",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122400",
            "telephone_number": "816-331-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTERSTATTER",
        "first_name": "MAUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2022000956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venkata Vamsi Nagineni, MD
• Susan D Newton, M.A., CCC-A
• Rebekah Lynne Niblock, DC
• Ariana Nieder, FNP-C
• Ifeoma Okekearu, PHARMD
• Julie E Otto, AUD
• P & G Home Healthcare Agency Inc.
• Richard Adam Parker, COTA
• Tina S Parki
• Aaron Royce Parkin, D.M.D

• Chiropractor in Belton, MO
• Providers in Belton, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.